Individual provider Active NPI

Peter Alfred Lewitt, M.D.

  • Neurology Physician
  • West Bloomfield, MI
National Provider Identifier
1750434114
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
PL045924 Issued in MI
Practice address
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone
(248) 325-2452
Fax
(248) 325-3115
NPI assigned
Jan 19, 2007
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X PL045924 MI Primary

Addresses

Primary practice location

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Mailing address

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 325-2452

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
I20080118000711 MI Practitioner - NeurologyPractitioner - Nephrology 3971684655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Warren Alpert Medical School of Brown University, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians
International Medical Clinic PLLCGroup PAC ID 0941626188, 9 clinicians

Practice addresses (Care Compare)

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-4275

43902 Woodward Ave
Suite 100
Bloomfield Hills, MI 48302-5021
Phone (248) 955-9949

6245 Inkster Rd
Garden City, MI 48135-4001
Phone (248) 955-9949

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PL045924MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
International Medical Clinic PLLC Neurology CurrentSince Jan 1, 2025 Accepting new patients
University Physician Group CurrentSince Apr 14, 2020 Accepting new patients

Locations

43902 Woodward Ave
Ste 100
Bloomfld Hls, MI 48302
Phone (248) 724-2643

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4201 Saint Antoine St
Ste 8A
Detroit, MI 48201
Phone (313) 577-8114

4201 Saint Antoine St
Ste 8B
Detroit, MI 48201

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

6255 Inkster Rd
Ste 101
Garden City, MI 48135
Phone (248) 275-1144

44200 Woodward Ave
Ste 101
Pontiac, MI 48341
Phone (248) 212-0678

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

26400 W 12 Mile Rd
Ste 110
Southfield, MI 48034
Phone (248) 355-3875

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Interoperability endpoints

  • Direct secure messaging: plewitt16882@direct.hfhs.org

Organizations & group practices 2

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 1

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1750434114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6777 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-325-2452",
            "fax_number": "248-325-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-325-2452",
            "fax_number": "248-325-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWITT",
        "first_name": "PETER",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "PL045924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.