Individual provider Active NPI

Joseph Pulito, DO

  • Diagnostic Radiology Physician
  • Troy, MI
National Provider Identifier
1609224179
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5101022482 Issued in MI
Practice address
44201 Dequindre Rd.
Troy, MI 48085-1117
Phone
(248) 964-5000
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 5101022482 MI Primary

Addresses

Primary practice location

44201 Dequindre Rd.
Troy, MI 48085-1117

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

50 N Perry St
McLaren Oakland
Pontiac, MI 48342-2217
Phone (248) 338-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpulito3208268@epic00.corewelldirect.org

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
I20220331001727 MI Practitioner - Diagnostic Radiology 6305130881 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group Hospital Based ServicesGroup PAC ID 3072875889, 575 clinicians

Practice addresses (Care Compare)

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8196

3555 W 13 Mile Rd
N120 Corewell Health William Beaumont Unive
Royal Oak, MI 48073-6710
Phone (248) 551-1550

3577 W 13 Mile Rd
Royal Oak, MI 48073-6710

3581 W 13 Mile Rd BCC
Beaumont Breast Care Center Ro
Royal Oak, MI 48073-6710
Phone (248) 551-3300

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-0575

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187

44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111

44250 Dequindre Rd
Sterling Heights, MI 48314-1002
Phone (248) 964-5190

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1605

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101022482MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Oakland North Macomb Imaging CurrentSince Aug 18, 2022 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince May 31, 2025 Accepting new patients
Southfield Rehabilitation Company Diagnostic Radiology CurrentSince Mar 25, 2022 Accepting new patients
Kellam & Associates, P. C. Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
McLaren Medical Group Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Southfield Rehabilitation Company Diagnostic Radiology CurrentSince Mar 25, 2022 Accepting new patients
McLaren Medical Group CurrentSince Mar 1, 2025 Accepting new patients

Locations

7619 Solutions Ctr
Chicago, IL 60677

937 N Opdyke Rd
Auburn Hills, MI 48326
Phone (248) 373-7600

3100 Cross Creek Pkwy
Ste 120
Auburn Hills, MI 48326
Phone (248) 327-8980

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Organizations & group practices 7

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1609224179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE RD.",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851117",
            "telephone_number": "248-964-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 N Perry St",
            "address_2": "McLaren Oakland",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483422217",
            "country_code": "US",
            "telephone_number": "248-338-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULITO",
        "first_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101022482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpulito3208268@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "44201 Dequindre Rd.",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480851117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.