Mary Elizabeth Pietrangelo, MD

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

4301066082 Issued in MI

Practice address

1160 Oakwood LN
Saint Clair, MI 48079-5286

Phone

(313) 720-3684

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Mark T. O'Brien, D.O., P.C.

  • Family Medicine Physician
  • East China, MI
  • NPI 1396943015
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1477583946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 OAKWOOD LN",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795286",
            "telephone_number": "313-720-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 OAKWOOD LN",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795286",
            "telephone_number": "313-720-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRANGELO",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301066082",
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "MI",
            "license": "4301066082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4209990",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cody Paris
• Pdo LLC
• Emma D Pearson
• Robert Pelka
• Robert D Perrin, LMSW
• Ashley Piper
• Shannon Leigh Porter
• Alexi Abigail Rankin
• Andrew James Reid, BT
• Robert Ogden Reisig Jr., DDS

• Forensic Pathology Physician in Saint Clair, MI
• Providers in Saint Clair, MI by specialty
• Forensic Pathology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.