Olive Tree Medical Clinic PC
NPI 1457660789 · Family Medicine Physician · Dearborn, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Olive Tree Medical Clinic PC is a Family Medicine Physician organization in Dearborn, MI (NPI 1457660789).
Provider details
- NPI number
- 1457660789
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sham Juratli, President(313) 451-8253
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2010-10-05
- Last updated
- 2016-11-02
Frequently asked questions
- What is Olive Tree Medical Clinic PC's NPI number?
- Olive Tree Medical Clinic PC's National Provider Identifier (NPI) is 1457660789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Olive Tree Medical Clinic PC?
- Olive Tree Medical Clinic PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Olive Tree Medical Clinic PC located?
- Olive Tree Medical Clinic PC's practice location on file with NPPES is 18181 Oakwood Blvd, Dearborn, MI 48124-5032.
- What is Olive Tree Medical Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Olive Tree Medical Clinic PC is (313) 451-8253.
- Does Olive Tree Medical Clinic PC accept Medicare?
- Olive Tree Medical Clinic 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 Olive Tree Medical Clinic PC?
- The authorized official listed on Olive Tree Medical Clinic PC's NPPES record is Sham Juratli, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Olive Tree Medical Clinic PC's NPI active?
- Yes — Olive Tree Medical Clinic PC's NPI (1457660789) is active in the NPPES registry as of the last update on 2016-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.