Individual provider Active NPI

Deborah Lynn Peery, M.D.

  • Internal Medicine Physician
  • Saline, MI
National Provider Identifier
1396747572
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DP048839 Issued in MI
Practice address
208 W Bennett St
Saline, MI 48176-1105
Phone
(734) 429-9377
Fax
(734) 429-8277
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DP048839 MI Primary

Addresses

Primary practice location

208 W Bennett St
Saline, MI 48176-1105

Mailing address

208 W Bennett St
Saline, MI 48176-1105
Phone (734) 429-9377

Other identifiers 14

IdentifierTypeStateIssuer
382742669OtherMICIGNA HEALTH PLANS
382742669OtherMIPRIORITY HEALTH
027980OtherMIMIDWEST HEALTH PLAN
382742669OtherMIUNITED HEALTHCARE PLANS
382742669OtherMIWASHTENAW HEALTH PLAN
0N14060OtherMIMICHIGAN MEDICARE PLUS BL
382742669OtherMICOFINITY
A74234OtherMIHEALTH ALLIANCE PLAN HMO
0813416OtherMIBLUE CARE NETWORK OF MICH
1108134161OtherMIBCBS OF MICHIGAN PIN
382742669OtherMIMICHIGAN TAX ID
DP048839OtherMIMICHIGAN STATE LICENSE
101812233MedicaidMI
A5035098OtherMIAETNA PLANS

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
I20100310000512 MI Practitioner - Internal Medicine 7517002918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rebecca L. Patrias, MD PLLCGroup PAC ID 1658370226, 4 clinicians

Practice addresses (Care Compare)

350 N Main St
Suite 100
Chelsea, MI 48118-1635
Phone (734) 433-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DP048839MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca L. Patrias, MD PLLC Internal Medicine CurrentSince Dec 19, 2019 Accepting new patients

Locations

350 N Main St
Ste 100
Chelsea, MI 48118
Phone (734) 433-1500

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 5

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1396747572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W BENNETT ST",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761105",
            "telephone_number": "734-429-9377",
            "fax_number": "734-429-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W BENNETT ST",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761105",
            "telephone_number": "734-429-9377",
            "fax_number": "734-429-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEERY",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "DP048839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLANS",
            "identifier": "382742669",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "382742669",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH PLAN",
            "identifier": "027980",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PLANS",
            "identifier": "382742669",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHTENAW HEALTH PLAN",
            "identifier": "382742669",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN MEDICARE PLUS BL",
            "identifier": "0N14060",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COFINITY",
            "identifier": "382742669",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN HMO",
            "identifier": "A74234",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK OF MICH",
            "identifier": "0813416",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN PIN",
            "identifier": "1108134161",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN TAX ID",
            "identifier": "382742669",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN STATE LICENSE",
            "identifier": "DP048839",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101812233",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PLANS",
            "identifier": "A5035098",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

Verify at the official NPI Registry.