Great Lakes Medical Center PLLC
NPI 1588986996 · Geriatric Medicine (Internal Medicine) Physician · Bay City, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Medical Center PLLC is a Geriatric Medicine (Internal Medicine) Physician organization in Bay City, MI (NPI 1588986996).
Provider details
- NPI number
- 1588986996
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tazeen Ahmed, Owner(989) 891-9000
- License
- TA066513 (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
16 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
- 2010-02-26
- Last updated
- 2021-03-30
- Certified
- 2021-03-30
Frequently asked questions
- What is Great Lakes Medical Center PLLC's NPI number?
- Great Lakes Medical Center PLLC's National Provider Identifier (NPI) is 1588986996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Medical Center PLLC?
- Great Lakes Medical Center PLLC is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Medical Center PLLC located?
- Great Lakes Medical Center PLLC's practice location on file with NPPES is 2110 16th Street, Bay City, MI 48708.
- What is Great Lakes Medical Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Medical Center PLLC is (989) 891-9000.
- Does Great Lakes Medical Center PLLC accept Medicare?
- Great Lakes Medical Center 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 Great Lakes Medical Center PLLC?
- The authorized official listed on Great Lakes Medical Center PLLC's NPPES record is Tazeen Ahmed, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Medical Center PLLC's NPI active?
- Yes — Great Lakes Medical Center PLLC's NPI (1588986996) is active in the NPPES registry as of the last update on 2021-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.