Elite Prime Care PLLC
NPI 1104542828 · Internal Medicine Physician · Canton, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elite Prime Care PLLC is a Internal Medicine Physician organization in Canton, MI (NPI 1104542828).
Provider details
- NPI number
- 1104542828
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohamed Nasser, Managing Director(313) 207-2460
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
3 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
Registry dates
- Enumerated
- 2022-10-14
- Last updated
- 2022-10-14
- Certified
- 2022-10-14
Frequently asked questions
- What is Elite Prime Care PLLC's NPI number?
- Elite Prime Care PLLC's National Provider Identifier (NPI) is 1104542828, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Prime Care PLLC?
- Elite Prime Care PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Elite Prime Care PLLC located?
- Elite Prime Care PLLC's practice location on file with NPPES is 8542 N Canton Center Rd, Canton, MI 48187-1310.
- What is Elite Prime Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Elite Prime Care PLLC is (734) 455-8310.
- Does Elite Prime Care PLLC accept Medicare?
- Elite Prime Care PLLC 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 Elite Prime Care PLLC?
- The authorized official listed on Elite Prime Care PLLC's NPPES record is Mohamed Nasser, Managing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Prime Care PLLC's NPI active?
- Yes — Elite Prime Care PLLC's NPI (1104542828) is active in the NPPES registry as of the last update on 2022-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.