Individual provider Active NPI

Peter J. Stoyanoff, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Flint, MI
National Provider Identifier
1548359375
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
4301057515 Issued in MI
Practice address
1 Hurley PLZ
Flint, MI 48503-5902
Phone
(810) 257-9429
Fax
(810) 257-9104
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 4301057515 MI Primary

Addresses

Primary practice location

1 Hurley PLZ
Flint, MI 48503-5902

Mailing address

1 Hurley PLZ
5TH Floor S.O.N.
Flint, MI 48503-5902
Phone (810) 762-7038

Other identifiers 2

IdentifierTypeStateIssuer
3423664MedicaidMI
0B51090OtherMIBLUE SHIELD

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
I20080412000007 MI Practitioner - Emergency Medicine 7618054891 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rush Medical College of Rush University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amd Urgent Medical Care, PLLCGroup PAC ID 6608021738, 5 clinicians
Amd Urgent Care FentonGroup PAC ID 1658752597, 3 clinicians
MD Enterprises PLLCGroup PAC ID 8729363445, 3 clinicians
Ppsmg Urgent Medical Care PLLCGroup PAC ID 9234362005, 3 clinicians

Practice addresses (Care Compare)

11307 N Linden Rd
Suite B
Clio, MI 48420-8589
Phone (810) 564-7995

1455 N Leroy St
Fenton
Fenton, MI 48430-2763
Phone (810) 546-7995

1477 S State Rd
Unit a
Davison, MI 48423-1911
Phone (810) 564-7995

7070 Miller Rd
Suite a
Swartz Creek, MI 48473-1591
Phone (810) 533-1468

7070 Miller Rd a
Swartz Creek, MI 48473-1591

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301057515MIMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center CurrentSince Feb 5, 1998 Accepting new patients
Urgent Care of Milford PLLC CurrentSince May 9, 2017 Accepting new patients
MD Enterprises PLLC CurrentSince Feb 1, 2017 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Amd Urgent Medical Care, PLLC CurrentSince Jan 1, 2015 Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center CurrentSince Feb 5, 1998 Accepting new patients
Hurley Medical Center Current Accepting new patients
Amd Urgent Care Fenton CurrentSince Jun 1, 2022 Accepting new patients
Emergency Professionals of Michigan, P.C. CurrentSince Aug 1, 2013 Accepting new patients
Ppsmg Urgent Medical Care, PLLC CurrentSince May 1, 2014 Accepting new patients
Amd Primary Care, PLLC PastSince Jul 21, 2015 Accepting new patients

Locations

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

11307 N Linden Rd
Ste B
Clio, MI 48420
Phone (810) 533-1468

1477 S State Rd
#A
Davison, MI 48423
Phone (810) 564-7995

1477 S State Rd
Davison, MI 48423
Phone (799) 581-0564

18101 Oakwood Blvd
Ste 103G
Dearborn, MI 48124

1451 N Leroy St
Fenton, MI 48430
Phone (810) 564-7995

1 Hurley Plz
Fl 5
Flint, MI 48503
Phone (810) 262-9353

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

600 Highland Ave
Milford, MI 48381
Phone (248) 505-9145

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

7070 Miller Rd
Ste A
Swartz Creek, MI 48473
Phone (810) 533-1468

Interoperability endpoints

  • Direct secure messaging: pstoyanoff4415@direct.hurleymc.com

Organizations & group practices 12

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 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1548359375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "address_2": "5TH FLOOR S.O.N.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-762-7038",
            "fax_number": "810-760-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-257-9429",
            "fax_number": "810-257-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOYANOFF",
        "first_name": "PETER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301057515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3423664",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0B51090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.