Peninsula Plastic and Reconstructive Surgery of Michigan
NPI 1316774110ActiveOrganization· Plastic Surgery· Novi, MI
Plastic Surgery in Novi, Michigan, registered in NPPES in September 2024. The authorized official on file is Rachel Perry, Cred Coord. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316774110 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2024 |
| Last updated in NPPES | Jan 21, 2025 |
| Certified by provider | Jan 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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