Family Medicine PC
NPI 1417921628 · Family Medicine Physician · Southfield, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Family Medicine PC is a Family Medicine Physician organization in Southfield, MI (NPI 1417921628).
Provider details
- NPI number
- 1417921628
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rodrigo Tobar, Secretary/Treasurer(248) 557-0535
- License
- RT008998 (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
20 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
- 2006-02-14
- Last updated
- 2012-01-18
Frequently asked questions
- What is Family Medicine PC's NPI number?
- Family Medicine PC's National Provider Identifier (NPI) is 1417921628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Medicine PC?
- Family Medicine PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Family Medicine PC located?
- Family Medicine PC's practice location on file with NPPES is 29255 Northwestern Hwy, Southfield, MI 48034-1018.
- What is Family Medicine PC's phone number?
- The practice phone number listed in the NPPES registry for Family Medicine PC is (248) 557-0535.
- Does Family Medicine PC accept Medicare?
- Family 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 Family Medicine PC?
- The authorized official listed on Family Medicine PC's NPPES record is Rodrigo Tobar, Secretary/Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Medicine PC's NPI active?
- Yes — Family Medicine PC's NPI (1417921628) is active in the NPPES registry as of the last update on 2012-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.