Individual provider Active NPI

Peter Donaldson, MD

  • Sports Medicine (Emergency Medicine) Physician
  • Southfield, MI
National Provider Identifier
1902830755
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
4301085729 Issued in MI
Practice address
26025 Lahser Rd
2ND Floor
Southfield, MI 48033-2601
Phone
(248) 663-1900
Fax
(248) 663-1902
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301085729 MI
Sports Medicine (Emergency Medicine) Physician 207PS0010X 4301085729 MI Primary

Addresses

Primary practice location

26025 Lahser Rd
2ND Floor
Southfield, MI 48033-2601

Mailing address

26211 Central Park Blvd Ste 201
Southfield, MI 48076-4158
Phone (833) 667-3627

Other practice location 1

45816 Schoenherr
Shelby Twp, MI 48315-6028
Phone (586) 842-2400

Other practice location 2

26750 Providence Parkway, Suite 220
Novi, MI 48374-1211
Phone (248) 596-0412

Other practice location 3

4967 Crooks Rd Ste 100
Troy, MI 48098-5812
Phone (248) 846-8060

Other practice location 4

1350 Kirts Blvd.
Suite 160
Troy, MI 48084-3127
Phone (248) 244-9426

Other practice location 5

30575 Woodward Ave
Royal Oak, MI 48073-0980
Phone (248) 280-8550

Other practice location 6

24255 13 Mile Rd
Suite 100
Bingham Farms, MI 48025-4320
Phone (248) 988-8085

Other practice location 7

17877 W 14 Mile Rd
Beverly Hills, MI 48025-3127
Phone (248) 644-3920

Other practice location 8

33200 W. 14 Mile Road, Suite 220
West Bloomfield, MI 48322-4930
Phone (248) 855-7400

Other identifiers 5

IdentifierTypeStateIssuer
MI10377060OtherCMS
0767220001OtherMIADMINISTAR FEDERAL
4873214MedicaidMI
0F31114OtherMIBCBS
0F33583OtherMIBCBS DME

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peter.donaldson.1@9974.direct.athenahealth.com Health Information Exchange (HIE)

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
I20051017000077 MI Practitioner - Sports MedicinePractitioner - Emergency Medicine 1951344431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Emergency Medicine
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians

Practice addresses (Care Compare)

26025 Lahser Rd
FL 2
Southfield, MI 48033-2606
Phone (248) 663-1900

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301085729MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Orthopaedic Surgeons, PLLC CurrentSince Jan 1, 2017 Accepting new patients
Mercy Hospital Past Accepting new patients
Michigan Orthopaedic Surgeons PLLC PastSince May 25, 2021 Accepting new patients
Mercy Hospital Past Accepting new patients
Michigan Orthopaedic Surgeons PLLC PastSince Mar 27, 2022 Accepting new patients

Locations

17877 W 14 Mile Rd
Beverly Hills, MI 48025
Phone (248) 644-3920

24255 W 13 Mile Rd
Ste 100
Bingham Farms, MI 48025
Phone (248) 988-8085

26750 Providence Pkwy
Ste 220
Novi, MI 48374
Phone (248) 596-0412

26211 Central Park Blvd
Ste 201
Southfield, MI 48076
Phone (248) 845-4381

26025 Lahser Rd
Fl 2
Southfield, MI 48033
Phone (248) 663-1900

1350 Kirts Blvd
Ste 160
Troy, MI 48084
Phone (248) 244-9426

4967 Crooks Rd
Ste 100
Troy, MI 48098
Phone (248) 846-8060

45816 Schoenherr Rd
Utica, MI 48315
Phone (586) 842-2400

33200 W 14 Mile Rd
Ste 220
West Bloomfield, MI 48322
Phone (248) 855-7400

Interoperability endpoints

  • Direct secure messaging: peter.donaldson.1@9974.direct.athenahealth.com

Organizations & group practices 6

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.

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1902830755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26211 CENTRAL PARK BLVD STE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764158",
            "telephone_number": "833-667-3627",
            "fax_number": "833-972-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26025 LAHSER RD",
            "address_2": "2ND FLOOR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332601",
            "telephone_number": "248-663-1900",
            "fax_number": "248-663-1902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45816 Schoenherr",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483156028",
            "country_code": "US",
            "telephone_number": "586-842-2400",
            "fax_number": "586-991-6054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26750 Providence Parkway, Suite 220",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741211",
            "country_code": "US",
            "telephone_number": "248-596-0412",
            "fax_number": "248-596-0418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4967 Crooks Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480985812",
            "country_code": "US",
            "telephone_number": "248-846-8060",
            "fax_number": "248-590-2063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Kirts Blvd.",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480843127",
            "country_code": "US",
            "telephone_number": "248-244-9426",
            "fax_number": "248-244-9426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30575 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480730980",
            "country_code": "US",
            "telephone_number": "248-280-8550",
            "fax_number": "248-280-8571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24255 13 Mile Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254320",
            "country_code": "US",
            "telephone_number": "248-988-8085",
            "fax_number": "248-988-8565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17877 W 14 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "MI",
            "postal_code": "480253127",
            "country_code": "US",
            "telephone_number": "248-644-3920",
            "fax_number": "248-644-2569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33200 W. 14 Mile Road, Suite 220",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483224930",
            "country_code": "US",
            "telephone_number": "248-855-7400",
            "fax_number": "248-626-6481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301085729",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301085729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "MI10377060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR FEDERAL",
            "identifier": "0767220001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4873214",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0F31114",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME",
            "identifier": "0F33583",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.donaldson.1@9974.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "26025 Lahser Rd",
            "address_2": "2nd Floor",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480332601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.