NPIMap

Individual provider Active NPI

Peter John Littrup, MD

  • Diagnostic Radiology Physician
  • Detroit, MI
National Provider Identifier
1043206881
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14797 Issued in RI
Practice address
4100 John R Rd
Detroit, MI 48201-2013
Phone
(313) 745-8042
Fax
(313) 745-2314
NPI assigned
Sep 27, 2005
Last updated
Oct 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301050249 MI
Diagnostic Radiology Physician 2085R0202X 14797 RI Primary

Addresses

Primary practice location

4100 John R Rd
Detroit, MI 48201-2013

Mailing address

20 Catamore Blvd
East Providence, RI 02914
Phone (401) 432-2500

Other identifiers 1

IdentifierTypeStateIssuer
700H261920OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051118000108 MI Practitioner - Diagnostic Radiology 7911926944 Reassigns benefits to 2 organizations
I20230717003361 NY Practitioner - Diagnostic Radiology 7911926944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologists of Univ of RochesterGroup PAC ID 6800700170, 140 clinicians

Practice addresses (Care Compare)

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2734

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14797RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Rochester Hospital CurrentSince Aug 30, 2017 Accepting new patients
North Oakland North Macomb Imaging CurrentSince May 1, 2019 Accepting new patients
Henry Ford Health Rochester Hospital CurrentSince Aug 30, 2017 Accepting new patients
Radiologists of Univ of Rochester Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Rochester Pathology PC Current Accepting new patients
Barbara Ann Karmanos Cancer Institute Past Accepting new patients
Harper Hutzel Hospital Past Accepting new patients

Locations

3100 Cross Creek Pkwy
Ste 120
Auburn Hills, MI 48326
Phone (248) 327-8980

355 Barclay Cir
Ste A
Rochester Hills, MI 48307
Phone (248) 216-1008

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#648
Rochester, NY 14642
Phone (585) 275-1376

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 7

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

Hospital & facility affiliations 6

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1043206881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CATAMORE BLVD",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "02914",
            "telephone_number": "401-432-2500",
            "fax_number": "248-827-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JOHN R RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012013",
            "telephone_number": "313-745-8042",
            "fax_number": "313-745-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTRUP",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301050249",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "14797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "700H261920",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.