Pennella Integrated Health PLLC
NPI 1508702333ActiveOrganization· General Practice· Detroit, MI
General Practice in Detroit, Michigan, registered in NPPES in April 2026. The authorized official on file is Samuel Pennella, MD, President/Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508702333 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2026 |
| Last updated in NPPES | May 14, 2026 |
| Certified by provider | May 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Surgery | 208600000X | — | — |
| Clinic/Center, Pain | 261QP3300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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