Individual provider Active NPI

Elizabeth A Pensler, D.O.

  • Surgery Physician
  • Ferndale, MI
National Provider Identifier
1659577963
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101017420 Issued in MI
Practice address
928 E 10 Mile Rd
Ferndale, MI 48220-1043
Phone
(248) 268-4296
Fax
(888) 850-3877
NPI assigned
Jun 23, 2007
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101017420 MI Primary

Addresses

Primary practice location

928 E 10 Mile Rd
Ferndale, MI 48220-1043

Mailing address

PO Box 71587
Madison Heights, MI 48071-0587
Phone (586) 751-3480

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
I20140725000297 MI Practitioner - Vascular Surgery 7416173935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth a Pensler DO PLLCGroup PAC ID 6305140880, 6 clinicians

Practice addresses (Care Compare)

32255 Northwestern Hwy
Suite 115a
Farmington Hills, MI 48334-1566
Phone (248) 268-4296

928 E 10 Mile Rd
Ferndale, MI 48220-1043
Phone (248) 268-4296

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal179
Leg revascularization (restoring blood flow)54
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101017420MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
K Heart & Vascular Institute, PLLC CurrentSince Sep 1, 2021 Accepting new patients
Elizabeth a Pensler DO PLLC Vascular Surgery CurrentSince Oct 13, 2015 Accepting new patients
Derek L Hill DO PLLC PastSince Mar 1, 2015 Accepting new patients

Locations

32255 Northwestern Hwy
Ste 115A
Farmington Hills, MI 48334
Phone (248) 268-4296

928 E 10 Mile Rd
Ferndale, MI 48220
Phone (248) 268-4296

928 E 10 Mile Rd
Ste 400
Ferndale, MI 48220
Phone (248) 268-4296

12885 Northline Rd
Southgate, MI 48195
Phone (248) 268-4296

33376 Dequindre Rd
Sterling Hts, MI 48310
Phone (248) 986-3252

11446 E 13 Mile Rd
Ste C
Warren, MI 48093
Phone (313) 707-0400

Interoperability endpoints

  • Direct secure messaging: epensler389993@direct.hfhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1659577963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71587",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480710587",
            "telephone_number": "586-751-3480",
            "fax_number": "888-850-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 E 10 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201043",
            "telephone_number": "248-268-4296",
            "fax_number": "888-850-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENSLER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-23",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101017420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.