Michigan Infusion Services and Licensed Healthcare
NPI 1164168126 · Health Service Clinic/Center · Plymouth, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michigan Infusion Services and Licensed Healthcare is a Health Service Clinic/Center organization in Plymouth, MI (NPI 1164168126).
Provider details
- NPI number
- 1164168126
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Long, Associate Medical Director(734) 341-7767
Specialties & taxonomies
Ambulatory Health Care Facilities
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2022-05-11
- Last updated
- 2022-06-23
- Certified
- 2022-06-23
Frequently asked questions
- What is Michigan Infusion Services and Licensed Healthcare's NPI number?
- Michigan Infusion Services and Licensed Healthcare's National Provider Identifier (NPI) is 1164168126, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michigan Infusion Services and Licensed Healthcare?
- Michigan Infusion Services and Licensed Healthcare is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Michigan Infusion Services and Licensed Healthcare located?
- Michigan Infusion Services and Licensed Healthcare's practice location on file with NPPES is 500 Ross St, Plymouth, MI 48170-2206.
- What is Michigan Infusion Services and Licensed Healthcare's phone number?
- The practice phone number listed in the NPPES registry for Michigan Infusion Services and Licensed Healthcare is (734) 341-7767.
- Does Michigan Infusion Services and Licensed Healthcare accept Medicare?
- Michigan Infusion Services and Licensed Healthcare 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 Michigan Infusion Services and Licensed Healthcare?
- The authorized official listed on Michigan Infusion Services and Licensed Healthcare's NPPES record is Kelly Long, Associate Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michigan Infusion Services and Licensed Healthcare's NPI active?
- Yes — Michigan Infusion Services and Licensed Healthcare's NPI (1164168126) is active in the NPPES registry as of the last update on 2022-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.