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PETER J. RODIN D.O.
NPI 1225039597
Family Medicine in Grosse Pointe Park, MI

Active since August 09, 2005
15200 KERCHEVAL AVE, GROSSE POINTE PARK, MI 48230(313) 417-6100(313) 417-6107 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2020, Oct 27, 2017 (2 updates tracked since 2017).

About Peter J. Rodin D.o. NPPES

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

PETER J. RODIN D.O. (NPI 1225039597) is an individual family medicine provider in Grosse Pointe Park, Michigan, licensed in Michigan (5101008434) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1225039597
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePETER J. RODINCredential: D.O.
Location Address15200 KERCHEVAL AVEGrosse Pointe Park, MI 48230-1356
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Phone(313) 417-6100
Fax(313) 417-6107
Sole ProprietorNo
Enumeration DateAugust 9, 2005
Last NPPES UpdateOctober 23, 20202 updates tracked since enumeration
NPPES CertifiedOctober 23, 2020
✔ NPI 1225039597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101008434
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15200 KERCHEVAL AVE, Grosse Pointe Park, MI 48230
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Other Identifiers 1

Medicaid2907618MI

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ASHLEY ELIZABETH ALEXANDER D.O.
Internal Medicine
15200 KERCHEVAL AVE
GROSSE POINTE PARK, MI 48230
Wayne County (313) 417-6100
MRS. ROBINA IJAZ SIAL M.D.
Family Medicine
15200 KERCHEVAL AVE
GROSSE POINTE PARK, MI 48230
Wayne County (313) 417-6100
DR. LINDSAY MARIE SMITH MD MPH
Family Medicine
15200 KERCHEVAL AVE
GROSSE POINTE PARK, MI 48230
Wayne County (947) 519-6700
LAWRENCE PAN MD
Family Medicine
15200 KERCHEVAL AVE
GROSSE POINTE PARK, MI 48230
Wayne County (313) 417-6100
KELLIE WENDZINSKI DO
Family Medicine
15200 KERCHEVAL AVE
GROSSE POINTE PARK, MI 48230
Wayne County (947) 519-6700
LINDA M KARADSHEH DO
Obstetrics & Gynecology (Obstetrics)
15200 KERCHEVAL AVE
GROSSE POINTE PARK, MI 48230
Wayne County (947) 519-6750
MICHAEL FRANCIS
Family Medicine
15200 KERCHEVAL AVE
GROSSE POINTE PARK, MI 48230
Wayne County (947) 519-6700

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 Rodin's NPI number?

The NPI number for Peter Rodin is 1225039597. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Peter Rodin located?

Peter Rodin practices at 15200 Kercheval Ave, Grosse Pointe Park, MI 48230. The listed phone number is (313) 417-6100.

What is Peter Rodin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Peter Rodin was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.