Gina Mary Peruzzi

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601013580 Issued in MI

Practice address

19100 Goddard Rd
Allen Park, MI 48101-1156

Phone

(313) 763-0309

NPI assigned

Feb 18, 2026

Sex

Female

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Doc Clinic and Urgent Care PLLC

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1104406289
  Medicare reassignment NPD
• Medworks Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Allen Park, MI
  • NPI 1356047773
  Medicare reassignment NPD
• Family Doc Ap PLLC

  • Family Medicine Physician
  • Allen Park, MI
  • NPI 1134807746
  NPD

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1083567044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 GODDARD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011156",
            "telephone_number": "313-763-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 GODDARD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011156",
            "telephone_number": "313-763-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUZZI",
        "first_name": "GINA",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mihir Patel
• Paul G. Riker DDS, PC., & Assoc.
• Eritha Alexia Pawley, LMT
• Suzanne D Peper, BS
• Personal Care Medicine Associates, PLC
• Naushad Pervez, MD
• Phoenix Medical Spa MDPC
• Lascelles Pinnock, M.D
• Mariah Pino
• Pioneer Healthcare Services Inc

• Physician Assistant in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.

Verify at the official NPI Registry.