Individual provider Active NPI

Peter Mancini II, M.D.

  • Cardiovascular Disease Physician
  • Dearborn, MI
National Provider Identifier
1831129477
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301061557 Issued in MI
Practice address
2881 Monroe St
Dearborn, MI 48124-3475
Phone
(313) 562-3232
Fax
(313) 563-3330
NPI assigned
Jul 3, 2006
Last updated
Apr 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301061557 MI Primary

Addresses

Primary practice location

2881 Monroe St
Dearborn, MI 48124-3475

Mailing address

19768 Beverly Rd
Beverly Hills, MI 48025-3911
Phone (313) 418-6001

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
I20061016000067 MI Practitioner - Cardiovascular Disease (Cardiology) 0749286730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2881 Monroe St
Dearborn, MI 48124-3475
Phone (313) 562-3232

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mancini Consulting L.L.C. Cardiovascular Disease CurrentSince Oct 23, 2014 Accepting new patients
Satinder Kumar Aggarwal MD P C Past Accepting new patients
Millennium Medical Group South PC Cardiovascular Disease Past Accepting new patients
Venocure, PLLC Cardiovascular Disease PastSince May 7, 2008 Accepting new patients

Locations

19135 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 486-4700

19135 Allen Rd
Ste 100
Brownstown Twp, MI 48183
Phone (734) 479-1090

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

2881 Monroe St
Dearborn, MI 48124
Phone (313) 562-3232

2881 Monroe St
Ste 1
Dearborn, MI 48124
Phone (313) 562-3232

2881 Monroe St
Ste 100
Dearborn, MI 48124
Phone (313) 562-3232

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEIGBA

Organizations & group practices 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1831129477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19768 BEVERLY RD",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480253911",
            "telephone_number": "313-418-6001",
            "fax_number": "248-792-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243475",
            "telephone_number": "313-562-3232",
            "fax_number": "313-563-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "PETER",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301061557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.