| NPI | 1154311405 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-10-27 |
| Last Updated | 2025-10-01 |
| Authorized Official | Katrina Ciluffo Practice Administrator Phone: 5864453719 |
| Mailing Address | 28963 Little Mack Ave Ste 101 Saint Clair Shores, MI 48081-3017 United States Phone: (586) 447-0700 | Fax: (586) 498-0707 📍 View Map |
| Primary Practice Address | 28963 Little Mack Ave, Suite 101 Saint Clair Shores, MI 48081-3017 United States Phone: (586) 447-0700 | Fax: (586) 498-0707 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RG0100X – Internal Medicine, Gastroenterology | - | - |
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About NPI 1154311405
Gi Medical Assoc Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1154311405. The primary specialty listed is Internal Medicine, Gastroenterology. The organization is located in Saint Clair Shores, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1154311405?
NPI 1154311405 belongs to Gi Medical Assoc Pc, a Internal Medicine, Gastroenterology in Saint Clair Shores, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1154311405 active?
The current status of NPI 1154311405 in the NPPES registry is Active. The record was last updated on 2025-10-01.
What specialty is NPI 1154311405?
NPI 1154311405 is classified under the taxonomy Internal Medicine, Gastroenterology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1154311405?
You can verify NPI 1154311405 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1154311405?
The primary practice address on file for NPI 1154311405 is 28963 Little Mack Ave, Saint Clair Shores, MI 48081-3017. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1154311405 issued?
NPI 1154311405 was first issued (enumerated) on 2005-10-27. The NPPES record was last updated on 2025-10-01.
Practice Location Map
Gi Medical Assoc Pc is located at 28963 Little Mack Ave, Saint Clair Shores, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Gi Medical Assoc Pc. All records sourced from the CMS NPPES registry.