Individual provider Active NPI

Rene Richard Peleman, MD

  • Gastroenterology Physician
  • Clinton Township, MI
National Provider Identifier
1225046170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301046347 Issued in MI
Practice address
37555 Garfield
Suite 125
Clinton Township, MI 48036
Phone
(586) 263-7150
Fax
(586) 263-3212
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301046347 MI Primary

Addresses

Primary practice location

37555 Garfield
Suite 125
Clinton Township, MI 48036

Mailing address

37555 Garfield
Suite 125
Clinton Township, MI 48036
Phone (586) 263-7150

Other identifiers 1

IdentifierTypeStateIssuer
4117816MedicaidMI

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
I20101213000089 MI Practitioner - GastroenterologyPractitioner - Internal Medicine 1153410493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Wayne State University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37555 Garfield Rd
Suite 125
Clinton Township, MI 48036-3660
Phone (586) 263-7150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
46.95 of 100Reported as individual
Quality
55.65
Improvement activities
0
Cost
82.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy180
Upper gastrointestinal (GI) endoscopy for acid reflux244

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Gastroenterology PC Gastroenterology CurrentSince Jun 1, 1999 Accepting new patients

Locations

37555 Garfield Rd
Ste 125
Clinton Twp, MI 48036
Phone (586) 226-3500

Interoperability endpoints

  • Direct secure messaging: rpeleman@direct.dmc.org
  • Direct secure messaging: rpeleman60916@direct.hfhs.org
  • Direct secure messaging: macomb.gastroenterology.nextgen.com@mgp-mi.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 4

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225046170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37555 GARFIELD",
            "address_2": "SUITE 125",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-263-7150",
            "fax_number": "586-263-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37555 GARFIELD",
            "address_2": "SUITE 125",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-263-7150",
            "fax_number": "586-263-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELEMAN",
        "first_name": "RENE",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301046347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4117816",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.