Center for Preventive Medicine PC
NPI 1174719025 · Internal Medicine Physician · Grosse Pointe Woods, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Center for Preventive Medicine PC is a Internal Medicine Physician organization in Grosse Pointe Woods, MI (NPI 1174719025).
Provider details
- NPI number
- 1174719025
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephenie Lucas, Owner(313) 885-2334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Infectious Disease Physician207RI0200X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2007-09-24
- Last updated
- 2017-05-04
Frequently asked questions
- What is Center for Preventive Medicine PC's NPI number?
- Center for Preventive Medicine PC's National Provider Identifier (NPI) is 1174719025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Center for Preventive Medicine PC?
- Center for Preventive Medicine PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Center for Preventive Medicine PC located?
- Center for Preventive Medicine PC's practice location on file with NPPES is 20870 Mack Ave, Grosse Pointe Woods, MI 48236-1388.
- What is Center for Preventive Medicine PC's phone number?
- The practice phone number listed in the NPPES registry for Center for Preventive Medicine PC is (313) 885-2334.
- Does Center for Preventive Medicine PC accept Medicare?
- Center for Preventive Medicine 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 Center for Preventive Medicine PC?
- The authorized official listed on Center for Preventive Medicine PC's NPPES record is Stephenie Lucas, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Center for Preventive Medicine PC's NPI active?
- Yes — Center for Preventive Medicine PC's NPI (1174719025) is active in the NPPES registry as of the last update on 2017-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.