Active NPI
Michelle Mitchell, D.O.
- Internal Medicine Physician
- Bloomfield Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101026052
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OS12397 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospitalists, PLLC | Internal Medicine | Current | 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
- 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Bloomfield Hills, MI
- NPI 1790340958
Internal Medicine
-
dba St Joseph Mercy Oakland
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1699398347
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Mercy Oakland
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.