Organization Active NPI

Peter M Samet MD PLC

  • Physical Medicine & Rehabilitation Physician
  • Southfield, MI
National Provider Identifier
1932266434
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PETER M SAMET MD PLC
Practice address
15600 W 12 Mile Rd Ste 200
Southfield, MI 48076-3068
Phone
(248) 809-6200
Fax
(248) 809-6105
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Dr. Peter M Samet, MDNPI 1447293246
Title
Owner
Phone
(248) 644-8454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

15600 W 12 Mile Rd Ste 200
Southfield, MI 48076-3068

Mailing address

PO Box 251478
West Bloomfield, MI 48325-1478
Phone (248) 809-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060911000272 MI Part B Supplier - Clinic/Group Practice 5395748388 Receives reassigned benefits from 1 practitioner
Practice locations: Ferndale, MI; Southfield, MI

National Provider Directory

National Provider Directory

Locations

15600 W 12 Mile Rd
Ste 200
Southfield, MI 48076
Phone (248) 809-6200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1932266434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251478",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483251478",
            "telephone_number": "248-809-6200",
            "fax_number": "248-809-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 W 12 MILE RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763068",
            "telephone_number": "248-809-6200",
            "fax_number": "248-809-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M SAMET MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "SAMET",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-644-8454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.