Justin John Peklo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704307050 Issued in MI

Practice address

21777 21 Mile Rd
Macomb, MI 48044-2962

Phone

(866) 389-2727

NPI assigned

Jun 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minuteclinic Diagnostic of Michigan PCGroup PAC ID 9133123755, 40 clinicians

Onsight IncGroup PAC ID 6507938800, 27 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.82 of 100Reported as group

Quality

61.63

Promoting interoperability

100

Improvement activities

40

Cost

81.1

Merit-based Incentive Payment System (MIPS)

Final score

81.3 of 100Reported as group

Quality

76.96

Improvement activities

40

Cost

79.9

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

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.

• Minuteclinic Diagnostic of Michigan PC

  • Family Nurse Practitioner
  • Northville, MI
  • NPI 1902848617
  Medicare reassignment Care Compare group NPD
• Onsight, Inc.

  • Podiatrist
  • East Lansing, MI
  • NPI 1821248568
  Medicare reassignment Care Compare group NPD
• Minuteclinic Primary Care-Michigan PLLC

  • Family Nurse Practitioner
  • Northville, MI
  • NPI 1528874062
  Medicare reassignment NPD
• Onsight, Inc.

  • Dentist
  • East Lansing, MI
  • NPI 1730339474
  NPD
• Onsight, Inc.

  • Optometrist
  • East Lansing, MI
  • NPI 1831356807
  NPD
• Giaimo Mobile Podiatry of WV PLLC

  • Podiatrist
  • Charleston, WV
  • NPI 1386183473
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1750876181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21777 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21777 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442962",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKLO",
        "first_name": "JUSTIN",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704307050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Maria Paterra-Murphy, CPHT
• Steven Pavloski
• Alaina Susan Pawlowski
• Monika Maria Peddycord, M.P.T.
• Pediatric Feeding Solutions, LLC
• Kelly Anne Penn, PT, DPT
• Perceptions Therapy L.L.C.
• Bogdan Peres
• David Alan Perkins, LMSW
• Nicholas Perry

• Family Nurse Practitioner in Macomb, MI
• Providers in Macomb, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.