Active NPI
Peter Andrew Schaible
- Neurological Surgery Physician
- Southfield, MI
National Provider Identifier
1609412758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 5151017792
- Practice address
- 22250 Providence Dr
Southfield, MI 48075-4825 - Phone
- (248) 569-7745
- Fax
- (248) 569-4539
- NPI assigned
- Nov 25, 2019
- Reactivated
- May 4, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 5151017792 | MI | Primary |
Addresses
Primary practice location
22250 Providence Dr
Southfield, MI 48075-4825
Mailing address
22250 Providence Dr
Southfield, MI 48075-4825
Phone (248) 569-7745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151017792 | MI | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1609412758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754825",
"telephone_number": "248-569-7745",
"fax_number": "248-569-4539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754825",
"telephone_number": "248-569-7745",
"fax_number": "248-569-4539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAIBLE",
"first_name": "PETER",
"middle_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-25",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"deactivation_date": "2026-04-01",
"reactivation_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "5151017792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.