Peter R Nwoke, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301082666 Issued in MI

Practice address

17331 Mack Avenue
Detroit, MI 48224-2250

Phone

(313) 473-8525

Fax

(313) 473-8521

NPI assigned

Sep 20, 2006

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: General Practice, General Surgery

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Complete Care Rehab LLCGroup PAC ID 2466423637, 12 clinicians

Practice addresses (Care Compare)

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.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pnwoke939038@direct.hfhs.org

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.

• Kancc Medical PLC

  dba Kancc Medical

  • General Practice Physician
  • Detroit, MI
  • NPI 1437710563

  Family Medicine

  Medicare reassignment NPD Authorized official
• Sciometrix LLC

  • General Practice Physician
  • Royal Oak, MI
  • NPI 1619649894
  Medicare reassignment NPD
• Divine Medical Care

  • Clinic/Center
  • Detroit, MI
  • NPI 1225363203
  NPD Authorized official
• Complete Care Rehab LLC

  • Rehabilitation Hospital Unit
  • Saint Clair Shores, MI
  • NPI 1801844220
  Care Compare group
• Sciometrix Inc

  • General Practice Physician
  • Staten Island, NY
  • NPI 1457065591
  NPD
• Citymedical Care PC

  • Clinic/Center
  • Detroit, MI
  • NPI 1609192467
  NPD (past)
• Medical Care of Michigan LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Detroit, MI
  • NPI 1962572404
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1841398955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806464",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480806464",
            "telephone_number": "313-473-8525",
            "fax_number": "313-473-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17331 MACK AVENUE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242250",
            "telephone_number": "313-473-8525",
            "fax_number": "313-473-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKE",
        "first_name": "PETER",
        "middle_name": "R",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301082666",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301082666",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301082666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuvision Transportation Service LLC
• Nkechinyelu Mary Ann Nwachukwu, LMSW
• Ihuoma Voice Nwagboso
• Obiageli Nwamu, MD
• Idu S. Nwapa, M.D.
• Samuel Sonny Nwosu
• Jean Nyambio, CRNA
• Matthew Joseph Nye, DDS
• Mary Elizabeth Nyhuis, MS, CGC
• Derek Richard Nykiel, MD, DDS

• General Practice Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.