Paul M Petre, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301078751 Issued in MI

Practice address

24362 Rensselaer St
Oak Park, MI 48237-1781

Phone

(313) 673-9145

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Home Clinic Group PC

  • General Practice Physician
  • Southfield, MI
  • NPI 1750517991
  NPD (past) Authorized official
• Home Clinic PC

  • General Practice Physician
  • Southfield, MI
  • NPI 1962645689
  NPD (past) Authorized official
• Paul Petre MD PC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Warren, MI
  • NPI 1750536454
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023145232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24362 RENSSELAER ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371781",
            "telephone_number": "313-673-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24362 RENSSELAER ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371781",
            "telephone_number": "313-673-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRE",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301078751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perfecting Home M-Care LLC
• Perry Drug Stores Inc and Subsidiaries
• Tyireshia Michelle Perry
• Personal Rehab Services P.C.
• Destiny Peterson, PHD
• Eman Petros, GENERAL DENTIST
• Phoenix Medical Associates
• Phoenix Medical Associates LLC
• Physical Medicine& Rehabilitation Consultant and Pain Management,P.C.
• Physical Rehab Service LLC

• Internal Medicine Physician in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.