Southfield Premier Primary Care PLLC
NPI 1417682766 · Primary Care Clinic/Center · Southfield, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southfield Premier Primary Care PLLC is a Primary Care Clinic/Center organization in Southfield, MI (NPI 1417682766).
Provider details
- NPI number
- 1417682766
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rafid Mansour, Medical Director/Physician(248) 559-2280
Specialties & taxonomies
Ambulatory Health Care Facilities
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2022-07-20
- Last updated
- 2022-07-20
- Certified
- 2022-07-20
Frequently asked questions
- What is Southfield Premier Primary Care PLLC's NPI number?
- Southfield Premier Primary Care PLLC's National Provider Identifier (NPI) is 1417682766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southfield Premier Primary Care PLLC?
- Southfield Premier Primary Care PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southfield Premier Primary Care PLLC located?
- Southfield Premier Primary Care PLLC's practice location on file with NPPES is 17070 W 12 Mile Rd Ste a, Southfield, MI 48076-2116.
- What is Southfield Premier Primary Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southfield Premier Primary Care PLLC is (248) 559-2280.
- Does Southfield Premier Primary Care PLLC accept Medicare?
- Southfield Premier Primary Care PLLC 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 Southfield Premier Primary Care PLLC?
- The authorized official listed on Southfield Premier Primary Care PLLC's NPPES record is Rafid Mansour, Medical Director/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southfield Premier Primary Care PLLC's NPI active?
- Yes — Southfield Premier Primary Care PLLC's NPI (1417682766) is active in the NPPES registry as of the last update on 2022-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.