Professional Primary Care Services PC
NPI 1588852933 · Internal Medicine Physician · Bloomfield Hills, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Professional Primary Care Services PC is a Internal Medicine Physician organization in Bloomfield Hills, MI (NPI 1588852933).
Provider details
- NPI number
- 1588852933
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jayakar Reddy Kanmantha Reddy, President(248) 396-6667
- License
- 4301068131 (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
18 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
- 2007-10-11
- Last updated
- 2011-07-11
Frequently asked questions
- What is Professional Primary Care Services PC's NPI number?
- Professional Primary Care Services PC's National Provider Identifier (NPI) is 1588852933, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Primary Care Services PC?
- Professional Primary Care Services PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Professional Primary Care Services PC located?
- Professional Primary Care Services PC's practice location on file with NPPES is 43996 Woodward Ave Ste 104, Bloomfield Hills, MI 48302-5028.
- What is Professional Primary Care Services PC's phone number?
- The practice phone number listed in the NPPES registry for Professional Primary Care Services PC is (248) 977-4138.
- Does Professional Primary Care Services PC accept Medicare?
- Professional Primary Care Services 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 Professional Primary Care Services PC?
- The authorized official listed on Professional Primary Care Services PC's NPPES record is Jayakar Reddy Kanmantha Reddy, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Primary Care Services PC's NPI active?
- Yes — Professional Primary Care Services PC's NPI (1588852933) is active in the NPPES registry as of the last update on 2011-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.