OrganizationActive
Cottab Medical Group, PLLC
NPI 1164529442 · Internal Medicine Physician · Detroit, MI
Provider details
- NPI number
- 1164529442
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patrick Charles, President(313) 369-5765
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4777 E Outer Dr
Detroit, MI 48234-3241
Phone: (313) 369-5700
Street-level locationGet directions
Mailing address
Po Box 36958
Grosse Pointe, MI 48236-0958
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.