Providence Park Internal Medicine PC
NPI 1487052619 · Internal Medicine Physician · Novi, MI
Providence Park Internal Medicine PC is a Internal Medicine Physician organization in Novi, MI (NPI 1487052619).
Provider details
- NPI number
- 1487052619
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Suha Qasim, President(248) 891-4074
- License
- 4301089716 (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
11 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
- 2014-12-22
- Last updated
- 2015-01-07
Frequently asked questions
- What is Providence Park Internal Medicine PC's NPI number?
- Providence Park Internal Medicine PC's National Provider Identifier (NPI) is 1487052619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Park Internal Medicine PC?
- Providence Park Internal Medicine PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Park Internal Medicine PC located?
- Providence Park Internal Medicine PC's practice location on file with NPPES is 26850 Providence Pkwy, Novi, MI 48374-1213.
- What is Providence Park Internal Medicine PC's phone number?
- The practice phone number listed in the NPPES registry for Providence Park Internal Medicine PC is (248) 891-4074.
- Who is the authorized official for Providence Park Internal Medicine PC?
- The authorized official listed on Providence Park Internal Medicine PC's NPPES record is Suha Qasim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Park Internal Medicine PC's NPI active?
- Yes — Providence Park Internal Medicine PC's NPI (1487052619) is active in the NPPES registry as of the last update on 2015-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.