Peter George Tucker, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301089327 Issued in MI

Practice address

655 W 13 Mile Rd
Madison Heights, MI 48071-1850

Phone

(248) 588-2468

Fax

(248) 585-4210

NPI assigned

May 10, 2006

Last updated

Apr 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 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

Specialty

Family PracticeAlso: Geriatric Medicine

Education

University of California, San Francisco School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Munson Medical GroupGroup PAC ID 8820277015, 191 clinicians

Munson Home CareGroup PAC ID 4880610260, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Hospice and Palliative Care Hospice, Traverse City, MI, CCN 231515
• Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Munson Home Care

  • Home Health Agency
  • Traverse City, MI
  • NPI 1326002577
  Medicare reassignment Care Compare group NPD
• Munson Medical Group

  dba Traverse Heart and Vascular

  • Cardiovascular Disease Physician
  • Traverse City, MI
  • NPI 1821398322
  Medicare reassignment Care Compare group NPD
• Munson Home Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Traverse City, MI
  • NPI 1972050748
  NPD
• Munson Medical Group

  dba MHC Cedarwoods Internal Medicine and Geriatrics

  • Geriatric Medicine (Internal Medicine) Physician
  • Traverse City, MI
  • NPI 1326801440
  NPD
• Munson Medical Group

  dba Munson Family Practice Residency

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1861047060
  NPD
• Munson Medical Center

  dba Urgent Care-UCN

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1881623031
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munson Home Care

  dba Munson Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Traverse City, MI
  • NPI 1508982927
  Care Compare affiliation
• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1598715971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W 13 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711850",
            "telephone_number": "248-588-2468",
            "fax_number": "248-585-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 13 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711850",
            "telephone_number": "248-588-2468",
            "fax_number": "248-585-4210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Medical Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847823",
            "country_code": "US",
            "telephone_number": "231-935-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "PETER",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD056753L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76965",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301089327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Munson.Home.Care.and.Hospice@mhc.midirect.net",
            "affiliation": "N",
            "address_1": "1105 Sixth St",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496842386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nicholas George Tubbs
• Jerone Derocco Turner Jr.
• Uma Rehabilitation and Physical Therapy Center, Inc. (Premier Physical Therapy & Rehabilitation, Inc.)
• Universal Durable Medical Equipment, LLC
• University Neurosurgical Associates, PC (Michigan Head and Spine Institute)
• Rachael Elizabeth Ustruck, D.O.

• Family Medicine Physician in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.