Individual provider Active NPI

Peter Eric Schaffer, DPM

  • Podiatrist
  • Birmingham, MI
National Provider Identifier
1760485536
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901000620 Issued in MI
Practice address
600 N Old Woodward Ave
Ste 202
Birmingham, MI 48009-1318
Phone
(248) 594-3338
Fax
(248) 594-3341
NPI assigned
May 24, 2005
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901000620 MI Primary

Addresses

Primary practice location

600 N Old Woodward Ave
Ste 202
Birmingham, MI 48009-1318

Mailing address

600 N Old Woodward Ave
Ste 202
Birmingham, MI 48009-1318
Phone (248) 594-3338

Other identifiers 2

IdentifierTypeStateIssuer
5635004OtherMIBCBS PIN
133348336MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060517000059 MI Practitioner - Podiatry 4981615481 Practice locations: Woodhaven, MI; West Bloomfield, MI; Farmington Hills, MI; Detroit, MI; Birmingham, MI; Commerce Township, MI; Allen Park, MI
O20100930057783 MI DME Supplier - Physician - Podiatry 5890909469 Practice locations: Birmingham, MI

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 N Old Woodward Ave
Birmingham, MI 48009-1318
Phone (248) 594-3338

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue45
Removal of skin lesions114
Removal of nail tissue243
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5901000620MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sav-on Home Health Care Supply Inc. Past Accepting new patients
Peter E Schaffer DPM PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pschaffer@direct.dmc.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 3

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1760485536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N OLD WOODWARD AVE",
            "address_2": "STE 202",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091318",
            "telephone_number": "248-594-3338",
            "fax_number": "248-594-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N OLD WOODWARD AVE",
            "address_2": "STE 202",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091318",
            "telephone_number": "248-594-3338",
            "fax_number": "248-594-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "PETER",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901000620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "5635004",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133348336",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.