INTERNAL MEDICINE CLINIC PLLC
INTERNAL MEDICINE CLINIC PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1124011127, based in Alpena, MI. The organization lists 3 taxonomy classifications, with Pulmonary Disease Physician recorded as primary.
Getting there
The practice address on file is 105 ARBOR LN, Alpena, MI 49707. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| JM059074 | MI | Pulmonary Disease Physician primary |
| MC034224 | MI | Endocrinology, Diabetes & Metabolism… |
| HS024997 | MI | Internal Medicine Physician |
This provider holds licence JM059074 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1557347267
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pulmonary Disease covers
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. NUCC Health Care Provider Taxonomy, code 207RP1001X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RP1001X | Pulmonary Disease Physician Pulmonary Disease | JM059074 | MI | primary |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician Endocrinology, Diabetes & Metabolism | MC034224 | MI | |
| 207R00000X | Internal Medicine Physician | HS024997 | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1124011127 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 24, 2005 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
105 ARBOR LN Alpena, MI 49707 (989) 356-3485 Fax (989) 356-6396 |
| Other identifiers |
110Z476020
· BCBSM COMMON PROVIDER # (MI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 2 | 4 | 0 | 1 | 1 | 1 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 4 | 4 | 0 | 1 | 2 | 1 | 4 |
Sum = 43 · next multiple of 10 = 50 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.