Individual provider Active NPI

Samuel H Wedes, MD

  • Psychiatry Physician
  • Livonia, MI
National Provider Identifier
1194031062
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301104466 Issued in MI
Practice address
17177 N Laurel Park Dr Ste 131
Livonia, MI 48152-3952
Phone
(734) 462-3210
Fax
(734) 462-1024
NPI assigned
Aug 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301104466 MI Primary

Addresses

Primary practice location

17177 N Laurel Park Dr Ste 131
Livonia, MI 48152-3952

Mailing address

17177 N Laurel Park Dr Ste 131
Livonia, MI 48152-3952
Phone (734) 462-3210

Other identifiers 1

IdentifierTypeStateIssuer
4301104466OtherMISTATE OF MICHIGAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140829000142 MI Practitioner - Psychiatry 8527286764 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Victor M. Cruz MD, P.C.Group PAC ID 3375604952, 29 clinicians

Practice addresses (Care Compare)

17177 N Laurel Park Dr
Suite 131
Livonia, MI 48152-3952
Phone (734) 462-3210

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Olma Specialty 1 LLC Psychiatry CurrentSince Sep 30, 2023 Accepting new patients
St Mary Mercy Hospital Current Accepting new patients
St Mary Mercy Physician Practices CurrentSince Dec 1, 2016 Accepting new patients
Iha Olma Specialty 1 LLC Current Accepting new patients
St Mary Mercy Hospital Professional Current Accepting new patients
St Mary Mercy Physician Practices CurrentSince Dec 1, 2016 Accepting new patients
Iha Olma Specialty 1 LLC CurrentSince Sep 30, 2023 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Jul 1, 2014 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Jul 1, 2014 Accepting new patients
St Mary Mercy Hospital Crna Current Accepting new patients
Victor M. Cruz MD, P.C. Psychiatry CurrentSince Feb 20, 2024 Accepting new patients

Locations

5340 Plymouth Rd
Ste 202
Ann Arbor, MI 48105
Phone (734) 206-2888

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

17177 Laurel Dr
Ste 131
Livonia, MI 48152
Phone (313) 462-3210

19000 St Joes Pkwy
Ste 210
Livonia, MI 48152
Phone (734) 655-8250

14555 Levan Rd
Ste 112
Livonia, MI 48154
Phone (734) 712-1000

19000 St Joes Pkwy
Ste 310
Livonia, MI 48152
Phone (248) 743-4490

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

17177 N Laurel Park Dr
Ste 131
Livonia, MI 48152
Phone (734) 462-3210

19000 St Joes Pkwy
Livonia, MI 48152
Phone (734) 655-8250

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1283040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1194031062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17177 N LAUREL PARK DR STE 131",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523952",
            "telephone_number": "734-462-3210",
            "fax_number": "734-462-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17177 N LAUREL PARK DR STE 131",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523952",
            "telephone_number": "734-462-3210",
            "fax_number": "734-462-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDES",
        "first_name": "SAMUEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-29",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301104466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "4301104466",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.