Peter Hanna Gumma, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301086814 Issued in MI

Practice address

17187 Schaefer Hwy
Detroit, MI 48235-4132

Phone

(313) 367-2767

Fax

(313) 367-2818

NPI assigned

Aug 26, 2009

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Wayne State University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Rehabilitation PhysiciansGroup PAC ID 4385824382, 11 clinicians

Jawad a Shah MD PCGroup PAC ID 5799779633, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beacon Hospice of Michigan LP Hospice, Canton, MI, CCN 231657
• Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
• Southeast Michigan Surgical Hospital LLC Hospital, Warren, MI, CCN 230264
• Harper University Hospital Hospital, Detroit, MI, CCN 230104
• DMC Sinai-Grace Hospital Inpatient rehabilitation facility, Detroit, MI, CCN 23T024
• Rehabilitation Institute of Michigan Inpatient rehabilitation facility, Detroit, MI, CCN 233027

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pgumma@direct.dmc.org

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.

• Michigan Rehabilitation Physicians

  • Physical Medicine & Rehabilitation Physician
  • Detroit, MI
  • NPI 1215240502
  Medicare reassignment Care Compare group Authorized official
• Jawad a Shah, MD PC

  • Specialist
  • Flint, MI
  • NPI 1942402391
  Medicare reassignment Care Compare group NPD
• Jawad a Shah MD PC

  • Durable Medical Equipment & Medical Supplies
  • Dearborn, MI
  • NPI 1114667763
  NPD
• Rehabilitation Medical Specialists PLLC

  • Physical Medicine & Rehabilitation Physician
  • Southfield, MI
  • NPI 1588763213
  NPD (past)
• VHS Sinai-Grace Hospital Inc

  • Rehabilitation Hospital Unit
  • Detroit, MI
  • NPI 1679885347
  NPD (past)

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

• Beacon Hospice of Michigan LP

  • Community Based Hospice Care Agency
  • Canton, MI
  • NPI 1629486543
  Care Compare affiliation
• Southeast Michigan Surgical Hospital, LLC

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1962402354
  Care Compare affiliation
• VHS Harper-Hutzel Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1427360700
  Care Compare affiliation
• VHS Rehabilitation Institute of Michigan Inc

  • Rehabilitation Hospital
  • Detroit, MI
  • NPI 1871805150

  Inpatient rehabilitation facility

  Care Compare affiliation
• VHS Sinai-Grace Hospital Inc

  • Rehabilitation Hospital Unit
  • Detroit, MI
  • NPI 1679885347

  Inpatient rehabilitation facility

  Care Compare affiliation
• VHS Sinai-Grace Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1760794044
  Care Compare affiliation

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1255564100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480260093",
            "telephone_number": "313-367-2767",
            "fax_number": "313-367-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17187 SCHAEFER HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354132",
            "telephone_number": "313-367-2767",
            "fax_number": "313-367-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMMA",
        "first_name": "PETER",
        "middle_name": "HANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-26",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301086814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denequa Gulledge, PEER SPECIALIST
• Nakia Yvette Gullett, RN
• Vivian Anita Gulley, RN BSN
• Junaid Gulzar, MBBS
• Christine Gumma, PA-C
• Barbra Thressa Gumn-Whiters, MA, LLPC, CAADC
• Heidi Gunderson, D.O.
• Katelyn Danielle Gundry, OTR/L
• Gunn and Associates, PC
• Brian Richard Gunn

• Physical Medicine & Rehabilitation Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.