Active NPI
Vincenzo Guglielmetti, M.D.
- Family Medicine Physician
- Lake Orion, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301072945
- Practice address
- 1375 S. Lapeer Rd.
Ste. 106
Lake Orion, MI 48360 - Phone
- (248) 693-9040
- Fax
- (248) 696-9007
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301072945 | MI | Primary |
Addresses
Primary practice location
1375 S. Lapeer Rd.
Ste. 106
Lake Orion, MI 48360
Mailing address
29877 Telegraph Rd
Suite 304
Southfield, MI 48034-1332
Phone (248) 377-4188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| Pic Indiana PC | Current | Accepting new patients | |
| Integrated Physician Solutions PC | Past | Accepting new patients |
Locations
1663 Belvidere Rd
Belvidere, IL 61008
Phone (815) 544-0040
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
4800 W 129th St
Merrionette Park, IL 60803
Phone (708) 377-2169
2524 N Illinois St
Swansea, IL 62226
Phone (618) 235-0605
123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305
924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056
4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582
102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224
505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135
1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115
1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835
3550 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-2530
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Urgent Care Clinic/Center
- Mishawaka, IN
- NPI 1942546890
-
- Home Health Agency
- Southfield, MI
- NPI 1992110662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508958737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29877 TELEGRAPH RD",
"address_2": "SUITE 304",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341332",
"telephone_number": "248-377-4188",
"fax_number": "248-223-9302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 S. LAPEER RD.",
"address_2": "STE. 106",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "48360",
"telephone_number": "248-693-9040",
"fax_number": "248-696-9007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUGLIELMETTI",
"first_name": "VINCENZO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301072945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Orion, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.