Pennella Integrated Health PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PENNELLA INTEGRATED HEALTH PLLC

Practice address

607 Shelby St Ste 700
Detroit, MI 48226-3282

Phone

(908) 208-8926

NPI assigned

Apr 24, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Pennella Jr., MDNPI 1124524038

Title

President/Ceo

Phone

(908) 208-8926

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Pennella Jr., MD

  • General Practice Physician
  • Detroit, MI
  • NPI 1124524038
  NPD (past) Authorized official

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1508702333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 SHELBY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263268",
            "telephone_number": "908-208-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 SHELBY ST STE 700",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263282",
            "telephone_number": "908-208-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNELLA INTEGRATED HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "PENNELLA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "908-208-8926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Sue Penhale
• Charday Penick, LLBSW
• Michael James Peniston, MD
• Rena Lashaun Penn, RN
• Sylvia E Penn, BSW
• Samuel Pennella Jr., MD
• Andrea Pennington
• Penny Love LLC
• Penny Transportation
• Hayward S Penny, M.S., R.D.N

• General Practice Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.