Teri L Shermetaro, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101010781 Issued in MI

Practice address

7736 Ortonville Rd
Ste. a
Clarkston, MI 48348-4483

Phone

(248) 625-5885

Fax

(248) 625-6794

NPI assigned

Jun 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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 Practice

Education

Midwestern University, Chicago College of Osteopathic Med, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

M-15 Family Medical Center PCGroup PAC ID 5395757587, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
• McLaren Oakland Hospital, Pontiac, MI, CCN 230207
• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tshermetaro184309@direct.trinity-health.org

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.

• M-15 Family Medical Center P C

  • Family Medicine Physician
  • Clarkston, MI
  • NPI 1811962376
  Medicare reassignment Care Compare group NPD

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

• McLaren Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1376564088
  Care Compare affiliation
• St Joseph Mercy Hospital-SMHC

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1720029044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7736 ORTONVILLE RD",
            "address_2": "STE. A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484483",
            "telephone_number": "248-625-5885",
            "fax_number": "248-625-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7736 ORTONVILLE RD",
            "address_2": "STE. A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484483",
            "telephone_number": "248-625-5885",
            "fax_number": "248-625-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMETARO",
        "first_name": "TERI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080157313",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Shehan, MS, RD
• Shelly Chumbler OD LLC
• Molly Marie Sherman
• Stefanie Denise Sherman, M.D.
• Carl Bernard Shermetaro, DO
• Cody William Shinavier, PMHNP-BC
• Jonathan Shook, PHD
• Joseph C. Shoots, MA,TLLP,CAC-1
• Emily Short, DMFT, LMFT
• Molly Shovan, LMSW

• Family Medicine Physician in Clarkston, MI
• Providers in Clarkston, 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 Oct 2, 2012; 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.