OrganizationActive
Advanced Care Clinic PC
NPI 1396053682 · Internal Medicine Physician · Dearborn Heights, MI
Provider details
- NPI number
- 1396053682
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nidal Jboor, Owner(313) 791-8000
- License
- 4301082688 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
25614 Ford Rd
Dearborn Heights, MI 48127-3024
Phone: (313) 791-8000
Fax: (313) 791-8002
Street-level locationGet directions
Mailing address
25614 Ford Rd
Dearborn Heights, MI 48127-3024
Registry dates
- Enumerated
- 2010-09-20
- Last updated
- 2012-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.