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MICHAEL JAMES PENISTON MD
NPI 1528639135
Internal Medicine in Detroit, MI

Active since July 06, 2021PECOS Enrolled
22201 MOROSS RD STE 170, DETROIT, MI 48236(313) 886-8787 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2026, Jun 25, 2024, Jul 6, 2021 (3 updates tracked since 2021).

About Michael James Peniston Md NPPES

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

MICHAEL JAMES PENISTON MD (NPI 1528639135) is an individual internal medicine provider in Detroit, Michigan, licensed in Michigan (4301516723) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1528639135
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL JAMES PENISTONCredential: MD
Location Address22201 MOROSS RD STE 170Detroit, MI 48236-2152
Mailing Address22201 Moross Rd Ste 170Detroit, MI 48236-2152 · (313) 886-8787
Phone(313) 886-8787
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 6, 2021
Last NPPES UpdateMarch 25, 20263 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1528639135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301516723
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
22201 MOROSS RD STE 170, Detroit, MI 48236
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael James Peniston Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193129849
PECOS Enrollment IDI20260429003739
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. ERIC KRUTEL D.O.
Internal Medicine
22201 MOROSS RD STE 170
DETROIT, MI 48236
Wayne County (313) 886-8787
CHRISTINA HERRILD
Internal Medicine
22201 MOROSS RD STE 170
DETROIT, MI 48236
Wayne County (313) 886-8787
CLAIRE ELIZABETH COLLINS-HAM MD
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 170
DETROIT, MI 48236
Wayne County (313) 432-6271
RAMYA MANNEY M.D.
Internal Medicine
22201 MOROSS RD STE 170
DETROIT, MI 48236
Wayne County (313) 886-8787

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 Michael Peniston's NPI number?

The NPI number for Michael Peniston is 1528639135. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is Michael Peniston located?

Michael Peniston practices at 22201 Moross Rd Ste 170, Detroit, MI 48236. The listed phone number is (313) 886-8787.

What is Michael Peniston's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Peniston enrolled in Medicare?

Yes. Michael Peniston is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Peniston was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.