Individual provider Active NPI

Michelle Mitchell, D.O.

  • Internal Medicine Physician
  • Bloomfield Hills, MI
National Provider Identifier
1023384567
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101026052 Issued in MI
Practice address
10 W Square Lake Rd Ste 103
Bloomfield Hills, MI 48302-0466
Phone
(248) 283-4000
Fax
(248) 283-4444
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS12397 FL
Internal Medicine Physician 207R00000X 5101026052 MI Primary

Addresses

Primary practice location

10 W Square Lake Rd Ste 103
Bloomfield Hills, MI 48302-0466

Mailing address

10 W Square Lake Rd Ste 103
Bloomfield Hills, MI 48302-0466
Phone (248) 283-4000

Other names 1

  • Michelle Peters Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210413002035 MI Practitioner - Internal Medicine 5698080737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospitalists, PLLCGroup PAC ID 8921338237, 27 clinicians

Practice addresses (Care Compare)

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 338-5645

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.55 of 100Reported as group
Quality
76.29
Improvement activities
40
Cost
82.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS12397FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitalists, PLLC Internal Medicine CurrentSince Mar 24, 2021 Accepting new patients
St Joseph Mercy Hospital-SMHC Past Accepting new patients
Telemed Consultants PLLC Internal Medicine Past Accepting new patients

Locations

10 W Square Lake Rd
Ste 103
Bloomfld Hls, MI 48302
Phone (248) 283-4000

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

Interoperability endpoints

  • Direct secure messaging: mpeters960615@direct.trinity-health.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1023384567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD STE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020466",
            "telephone_number": "248-283-4000",
            "fax_number": "248-283-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD STE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020466",
            "telephone_number": "248-283-4000",
            "fax_number": "248-283-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MICHELLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS12397",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101026052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "PETERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.