Individual provider Active NPI

Peter F. Gregory, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Livonia, MI
National Provider Identifier
1346244803
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901000968 Issued in MI
Practice address
17316 Farmington Rd
Livonia, MI 48152-3158
Phone
(734) 522-7676
Fax
(734) 261-2130
NPI assigned
Jun 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901000968 MI
Foot & Ankle Surgery Podiatrist 213ES0103X 5901000968 MI Primary

Addresses

Primary practice location

17316 Farmington Rd
Livonia, MI 48152-3158

Mailing address

17316 Farmington Rd
Livonia, MI 48152-3158
Phone (734) 522-7676

Other identifiers 5

IdentifierTypeStateIssuer
002571OtherMIMIDWEST
2107660MedicaidMI
480001655OtherRR MEDICARE
5821542OtherMIBLUE SHIELD
540H221640OtherBLUE SHIELD DME

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070615000117 MI Practitioner - Podiatry 3173622172 Reassigns benefits to 1 organization
Practice locations: Livonia, MI

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Bazzi PodiatryGroup PAC ID 3173848520, 9 clinicians

Practice addresses (Care Compare)

7633 E Jefferson Ave
Suite 250
Detroit, MI 48214-3731
Phone (313) 821-3338

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

ProcedureNumber of procedures
Removal of nail tissue345
Removal or shaving of skin growth94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901000968MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bazzi Podiatry Foot & Ankle Surgery CurrentSince Oct 1, 2024 Accepting new patients

Locations

7633 E Jefferson Ave
Ste 250
Detroit, MI 48214
Phone (313) 581-2121

17316 Farmington Rd
Livonia, MI 48152
Phone (734) 522-7676

26095 W 6 Mile Rd
Redford, MI 48240
Phone (248) 886-4464

Interoperability endpoints

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

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": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1346244803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17316 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523158",
            "telephone_number": "734-522-7676",
            "fax_number": "734-261-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17316 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523158",
            "telephone_number": "734-522-7676",
            "fax_number": "734-261-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "PETER",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-11",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901000968",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901000968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST",
            "identifier": "002571",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107660",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480001655",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "5821542",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD DME",
            "identifier": "540H221640",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.