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PETER M WILUSZ DPM PC
NPI 1083647739
Podiatrist - Foot & Ankle Surgery in Clarkston, MI

Active since July 08, 2006
5730 BELLA ROSA BLVD STE 200, CLARKSTON, MI 48348(248) 922-6000(248) 922-5779 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peter M Wilusz Dpm Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER M WILUSZ DPM PC (NPI 1083647739) is a healthcare organization registered as a foot & ankle surgery in Clarkston, Michigan and active in the NPI registry since July 2006. The organization lists Peter M Wilusz, President, as its authorized official.

NPPES Registry Identity

NPI1083647739
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePETER M WILUSZ DPM PC
Location Address5730 BELLA ROSA BLVD STE 200Clarkston, MI 48348
Mailing Address5730 Bella Rosa Blvd Ste 200Clarkston, MI 48348-4774 · (248) 922-6000 · Fax (248) 922-5779
Phone(248) 922-6000
Fax(248) 922-5779
Organization SubpartNo
Authorized OfficialPeter M WiluszPresident · (248) 672-8805
Enumeration DateJuly 8, 2006
Last NPPES UpdateJune 11, 2018
✔ NPI 1083647739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MI · 5901002033
5730 BELLA ROSA BLVD STE 200, Clarkston, MI 48348
Open in Google Maps ↗

Other Identifiers 8

Other5790397MI · Cigna
Other162339Glhp
Other71863MI · Omnicare
Medicaid4940030 TYPE 13MI
OtherU93968MI · Hap
Other7210519MI · Aetna
OtherQMXPR0030596MI · Molina Health Care
Other00002528538MI · United Healthcare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter M Wilusz Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20060925000439Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peter M Wilusz DPM PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Peter Wilusz, DPM
Podiatry
NPI 1083692925
5730 BELLA ROSA BLVD STE 200
Clarkston, MI 48348
(248) 922-6000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter M Wilusz Dpm PC's NPI number?

The NPI number for Peter M Wilusz Dpm PC is 1083647739. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Peter M Wilusz Dpm PC located?

Peter M Wilusz Dpm PC is located at 5730 Bella Rosa Blvd Ste 200, Clarkston, MI 48348. The listed phone number is (248) 922-6000.

What is Peter M Wilusz Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Peter M Wilusz Dpm PC enrolled in Medicare?

Yes. Peter M Wilusz Dpm PC is registered in the Medicare PECOS enrollment system.

When is Peter M Wilusz Dpm PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Peter M Wilusz Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Peter M Wilusz Dpm PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Peter M Wilusz Dpm PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Peter M Wilusz Dpm PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter M Wilusz Dpm PC was last updated on June 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.