OrganizationActive
Southeastern Michigan Medical Consultants PC
NPI 1942300884 · Addiction Medicine (Internal Medicine) Physician · Saint Clair Shores, MI
Provider details
- NPI number
- 1942300884
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rudy Vervaeke, Ceo(586) 775-7400
- License
- 4301044898 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
21420 Harper Ave
Suite 2
Saint Clair Shores, MI 48080-3607
Phone: (586) 775-7400
Fax: (586) 775-0091
Street-level locationGet directions
Mailing address
21420 Harper Ave
Saint Clair Shores, MI 48080-3607
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2015-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.