Individual provider Active NPI

Ronald J Pierskalla, M.D.

  • Internal Medicine Physician
  • Shelby Township, MI
National Provider Identifier
1700878618
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301053057 Issued in MI
Practice address
50505 Schoenherr Rd
Suite 300
Shelby Township, MI 48315-3141
Phone
(586) 726-5566
Fax
(586) 726-8085
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301053057 MI Primary

Addresses

Primary practice location

50505 Schoenherr Rd
Suite 300
Shelby Township, MI 48315-3141

Mailing address

50505 Schoenherr Rd
Suite 300
Shelby Township, MI 48315-3141
Phone (586) 726-5566

Other identifiers 1

IdentifierTypeStateIssuer
2775009MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpierskalla63211@direct.hfhs.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
I20090618000653 MI Practitioner - Internal Medicine 6800975939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians
Henry Ford Physician PartnersGroup PAC ID 8921482605, 79 clinicians

Practice addresses (Care Compare)

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

50505 Schoenherr Rd
Suite 300
Shelby TWP, MI 48315-3141
Phone (586) 726-5566

Hospital & facility affiliations

  • Henry Ford Home Health Care Home health agency, Detroit, MI, CCN 237087
  • Elara Caring Home health agency, Jackson, MI, CCN 237274
  • Optimal Care Home Health Home health agency, Bingham Farms, MI, CCN 237504
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301053057MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Physician Partners CurrentSince Sep 1, 2022 Accepting new patients
Alliance Health Professionals, PLLC Internal Medicine CurrentSince May 15, 2015 Accepting new patients
Henry Ford Physician Partners Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Henry Ford Macomb Ancillary Services Current Accepting new patients
Internal Medicine Associates of Mt. Clemens, PC Internal Medicine Current Accepting new patients

Locations

2689 Solution Ctr
Chicago, IL 60677

133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880

50505 Schoenherr Rd
Ste 300
Shelby Township, MI 48315
Phone (586) 323-4530

Organizations & group practices 5

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 10

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1700878618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 300",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153141",
            "telephone_number": "586-726-5566",
            "fax_number": "586-726-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 300",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153141",
            "telephone_number": "586-726-5566",
            "fax_number": "586-726-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSKALLA",
        "first_name": "RONALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301053057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2775009",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpierskalla63211@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 300",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483153141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.