Individual provider Active NPI

Peter E. Milostan, D.C.

  • Chiropractor
  • Commerce Township, MI
National Provider Identifier
1093722191
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005346 Issued in MI
Practice address
2400 Union Lake Rd
Commerce Township, MI 48382-3551
Phone
(248) 360-4333
Fax
(248) 360-9454
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005346 MI Primary

Addresses

Primary practice location

2400 Union Lake Rd
Commerce Township, MI 48382-3551

Mailing address

2400 Union Lake Rd
Commerce Township, MI 48382-3551
Phone (248) 360-4333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060424000020 MI Practitioner - Chiropractic 3173533023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Mary C. Milostan D C P CGroup PAC ID 9133139033, 2 clinicians

Practice addresses (Care Compare)

2400 Union Lake Rd
Commerce Township, MI 48382-3551
Phone (248) 360-4333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301005346MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mary C. Milostan D C P C Chiropractor CurrentSince Jan 5, 2006 Accepting new patients

Locations

2400 Union Lake Rd
Commerce Twp, MI 48382
Phone (248) 360-4333

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1093722191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 UNION LAKE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823551",
            "telephone_number": "248-360-4333",
            "fax_number": "248-360-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 UNION LAKE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823551",
            "telephone_number": "248-360-4333",
            "fax_number": "248-360-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOSTAN",
        "first_name": "PETER",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.