Macomb Primary Care PC
NPI 1073842241 · Internal Medicine Physician · Shelby Township, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Macomb Primary Care PC is a Internal Medicine Physician organization in Shelby Township, MI (NPI 1073842241).
Provider details
- NPI number
- 1073842241
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chadi Mansour, Physician(586) 323-0301
- License
- 4301077635 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Revolution Wellness
Registry dates
- Enumerated
- 2009-12-16
- Last updated
- 2021-09-17
- Certified
- 2021-09-17
Frequently asked questions
- What is Macomb Primary Care PC's NPI number?
- Macomb Primary Care PC's National Provider Identifier (NPI) is 1073842241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Macomb Primary Care PC?
- Macomb Primary Care PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Macomb Primary Care PC located?
- Macomb Primary Care PC's practice location on file with NPPES is 51850 Dequindre Rd Ste 2, Shelby Township, MI 48316-2806.
- What is Macomb Primary Care PC's phone number?
- The practice phone number listed in the NPPES registry for Macomb Primary Care PC is (586) 323-0301.
- Does Macomb Primary Care PC accept Medicare?
- Macomb Primary Care PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Macomb Primary Care PC?
- The authorized official listed on Macomb Primary Care PC's NPPES record is Chadi Mansour, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Macomb Primary Care PC's NPI active?
- Yes — Macomb Primary Care PC's NPI (1073842241) is active in the NPPES registry as of the last update on 2021-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.