Peninsula Plastic and Reconstructive Surgery of Michigan
NPI 1316774110 · Plastic Surgery Physician · Novi, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peninsula Plastic and Reconstructive Surgery of Michigan is a Plastic Surgery Physician organization in Novi, MI (NPI 1316774110).
Provider details
- NPI number
- 1316774110
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rachel Perry, Cred Coord(586) 209-8307
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-16
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Frequently asked questions
- What is Peninsula Plastic and Reconstructive Surgery of Michigan's NPI number?
- Peninsula Plastic and Reconstructive Surgery of Michigan's National Provider Identifier (NPI) is 1316774110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peninsula Plastic and Reconstructive Surgery of Michigan?
- Peninsula Plastic and Reconstructive Surgery of Michigan is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Peninsula Plastic and Reconstructive Surgery of Michigan located?
- Peninsula Plastic and Reconstructive Surgery of Michigan's practice location on file with NPPES is 47601 Grand River Ave Ste B233, Novi, MI 48374-1204.
- What is Peninsula Plastic and Reconstructive Surgery of Michigan's phone number?
- The practice phone number listed in the NPPES registry for Peninsula Plastic and Reconstructive Surgery of Michigan is (248) 465-5499.
- Does Peninsula Plastic and Reconstructive Surgery of Michigan accept Medicare?
- Peninsula Plastic and Reconstructive Surgery of Michigan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peninsula Plastic and Reconstructive Surgery of Michigan?
- The authorized official listed on Peninsula Plastic and Reconstructive Surgery of Michigan's NPPES record is Rachel Perry, Cred Coord. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peninsula Plastic and Reconstructive Surgery of Michigan's NPI active?
- Yes — Peninsula Plastic and Reconstructive Surgery of Michigan's NPI (1316774110) is active in the NPPES registry as of the last update on 2025-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.