NPIMap

Individual provider Active NPI

Philip Stanley Vendittelli, D.O.

  • Cardiovascular Disease Physician
  • Roseville, MI
National Provider Identifier
1871949925
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
51024546 Issued in MI
Practice address
18303 E 10 Mile Rd Ste 100
Roseville, MI 48066-4989
Phone
(586) 776-8877
Fax
(586) 776-3092
NPI assigned
May 8, 2016
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101022293 MI
Cardiovascular Disease Physician 207RC0000X 51024546 MI Primary
Interventional Cardiology Physician 207RI0011X 5315204612 MI

Addresses

Primary practice location

18303 E 10 Mile Rd Ste 100
Roseville, MI 48066-4989

Mailing address

22101 Moross Rd FL 2
Detroit, MI 48236-2148
Phone (313) 343-4612

Other practice location 1

43230 Garfield Rd Ste 150
Clinton Township, MI 48038-7414
Phone (586) 412-7251

Other identifiers 1

IdentifierTypeStateIssuer
5101024546MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230616003103 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 2567754575 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Michigan State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute of Michigan, P.C.Group PAC ID 1052380219, 10 clinicians

Practice addresses (Care Compare)

18303 E 10 Mile Rd
Suite 100
Roseville, MI 48066-4989
Phone (586) 776-8877

22101 Moross Rd
Detroit, MI 48236-2148
Phone (586) 753-0011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.15 of 100Reported as group
Quality
87.87
Promoting interoperability
100
Improvement activities
40
Cost
80.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101022293MIMDInternal Medicine Physician
51024546MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Feb 1, 2026 Accepting new patients
Cardiovascular Institute of Michigan, P.C. Cardiovascular Disease CurrentSince Jul 31, 2023 Accepting new patients
Henry Ford Health Providence Hospital Cardiovascular Disease CurrentSince Jan 24, 2026 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jan 24, 2026 Accepting new patients
Henry Ford Health St. John Hospital Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Preventive Cardiovascular Institute PLLC Cardiovascular Disease PastSince Jun 18, 2023 Accepting new patients

Locations

22101 Moross Rd
Bldg 2
Detroit, MI 48236
Phone (313) 343-7784

22101 Moross Rd
Fl 2
Detroit, MI 48236

22201 Moross Rd
Grosse Pointe Woods, MI 48236
Phone (313) 343-6530

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

18303 E 10 Mile Rd
Ste 100
Roseville, MI 48066
Phone (586) 776-8877

Interoperability endpoints

  • Direct secure messaging: pvenditteli646021@direct.hfhs.org

Organizations & group practices 8

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 8

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": "1462665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1871949925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD FL 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362148",
            "telephone_number": "313-343-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18303 E 10 MILE RD STE 100",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664989",
            "telephone_number": "586-776-8877",
            "fax_number": "586-776-3092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43230 Garfield Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480387414",
            "country_code": "US",
            "telephone_number": "586-412-7251",
            "fax_number": "586-412-7251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENDITTELLI",
        "first_name": "PHILIP",
        "middle_name": "STANLEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-08",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101022293",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "51024546",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "5315204612",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5101024546",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.