Southeast Michigan Medical Associates PC
NPI 1417001660 · Internal Medicine Physician · Lathrup Village, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeast Michigan Medical Associates PC is a Internal Medicine Physician organization in Lathrup Village, MI (NPI 1417001660).
Provider details
- NPI number
- 1417001660
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ashok Bansal, President(248) 827-7612
- License
- 4301057441 (MI)
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
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
Mailing address
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2017-02-21
Frequently asked questions
- What is Southeast Michigan Medical Associates PC's NPI number?
- Southeast Michigan Medical Associates PC's National Provider Identifier (NPI) is 1417001660, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Michigan Medical Associates PC?
- Southeast Michigan Medical Associates PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southeast Michigan Medical Associates PC located?
- Southeast Michigan Medical Associates PC's practice location on file with NPPES is 18451 W 12 Mile Rd, Lathrup Village, MI 48076-2644.
- What is Southeast Michigan Medical Associates PC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Michigan Medical Associates PC is (248) 827-7612.
- Does Southeast Michigan Medical Associates PC accept Medicare?
- Southeast Michigan Medical Associates 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 Southeast Michigan Medical Associates PC?
- The authorized official listed on Southeast Michigan Medical Associates PC's NPPES record is Ashok Bansal, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Michigan Medical Associates PC's NPI active?
- Yes — Southeast Michigan Medical Associates PC's NPI (1417001660) is active in the NPPES registry as of the last update on 2017-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.