Peter Michael Wilusz, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PW002033 Issued in MI

Practice address

5730 Bella Rosa Blvd Ste 200
Clarkston, MI 48348

Phone

(248) 922-6000

Fax

(248) 922-5997

NPI assigned

Dec 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Oakland Hospital, Pontiac, MI, CCN 230207

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: peter.wilusz@direct.secureehrthomas.com

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.

• Peter M Wilusz DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Clarkston, MI
  • NPI 1083647739
  Medicare reassignment Authorized official
• Peter M Wilusz DPM PC

  • Podiatrist
  • Clarkston, MI
  • NPI 1851558787

  Single Specialty

  NPD
• Foot and Ankle Institute of Michigan PLLC

  • Podiatrist
  • West Bloomfield, MI
  • NPI 1629088729

  Single Specialty

  NPD (past)
• Jack Janigian DPM PC

  • Podiatrist
  • Northville, MI
  • NPI 1013027887

  Single Specialty

  NPD (past)

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

• McLaren Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1376564088
  Care Compare affiliation

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

{
    "created_epoch": "1135987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1083692925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BELLA ROSA BLVD STE 200",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484774",
            "telephone_number": "248-922-6000",
            "fax_number": "248-922-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 BELLA ROSA BLVD STE 200",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "48348",
            "telephone_number": "248-922-6000",
            "fax_number": "248-922-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILUSZ",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-31",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "PW002033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUSE SHIELD",
            "identifier": "4858214660",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4856315560",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4940030 TYPE 13",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Rae Wilson, LPC
• Courtney Amber Wilson, PA-C
• Leigh Wilson, FNP
• Madeline Wilson
• Marissa Wilson
• Karen Windrim, RN
• Katherine Windrim, PMHNP-BC, RN
• April Winkelman, LMSW
• Shana Wirth, MA, LPC
• Emily Wisler, LLPC

• Podiatrist in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.