Active NPI
Beth M Wendt, DO
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- BW011423
- Practice address
- 22201 Moross Rd
Suite 150
Detroit, MI 48236-2169 - Phone
- (313) 886-8787
- Fax
- (313) 886-4103
- NPI assigned
- Aug 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BW011423 | MI | Primary |
Addresses
Primary practice location
22201 Moross Rd
Suite 150
Detroit, MI 48236-2169
Mailing address
22201 Moross Rd
Suite 150
Detroit, MI 48236-2169
Phone (313) 886-8787
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Michigan Medical School, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1216 Richardson St
Port Huron, MI 48060-3549
Phone (810) 987-6218
36500 S Gratiot Ave
Clinton Township, MI 48035-1772
37399 Garfield Rd
Clinton Township, MI 48036-3672
Hospital & facility affiliations
- McLaren Macomb
- McLaren Port Huron
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11423 | MI | MD | General Practice Dentistry |
| BW011423 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Port Huron | Current | Accepting new patients | |
| McLaren Port Huron | Internal Medicine | Current | Accepting new patients |
| McLaren Macomb | Past | Accepting new patients |
Locations
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
1216 Richardson St
Port Huron, MI 48060
Phone (810) 985-2640
1163 S Carney Dr
Saint Clair, MI 48079
Phone (810) 561-8450
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Mount Clemens, MI
- NPI 1396014601
-
- Family Medicine Physician
- Port Huron, MI
- NPI 1619355930
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1982685384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1972505501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22201 MOROSS RD",
"address_2": "SUITE 150",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362169",
"telephone_number": "313-886-8787",
"fax_number": "313-886-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22201 MOROSS RD",
"address_2": "SUITE 150",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362169",
"telephone_number": "313-886-8787",
"fax_number": "313-886-4103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDT",
"first_name": "BETH",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "BW011423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.