BENJAMIN DOPPELT ACNP-BC
NPI 1578885687
Nurse Practitioner - Acute Care in Warren, MI

Q: What is Benjamin Doppelt's NPI number?

The NPI number for Benjamin Doppelt is 1578885687. It was assigned to this individual provider in the NPPES registry on February 17, 2010.

Q: What is Benjamin Doppelt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Doppelt was last updated on July 9, 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.

Active since February 17, 2010PECOS EnrolledAccepts Medicare Assignment

11800 E 12 MILE RD, WARREN, MI 48093(586) 573-5000 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2018, Jan 12, 2018 (2 updates tracked since 2018).

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About Benjamin Doppelt Acnp-bc NPPES

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

BENJAMIN DOPPELT ACNP-BC (NPI 1578885687) is an individual acute care provider in Warren, Michigan, licensed in Michigan (4704235100) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1578885687

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameBENJAMIN DOPPELTCredential: ACNP-BC

Location Address11800 E 12 MILE RDWarren, MI 48093-3472

Mailing Address11400 Joseph Campau StHamtramck, MI 48212-3041 · (313) 366-5500 · Fax (313) 366-5505

Phone(586) 573-5000

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateFebruary 17, 2010

Last NPPES UpdateJuly 9, 20182 updates tracked since enumeration

✔ NPI 1578885687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MI · 4704235100

11800 E 12 MILE RD, Warren, MI 48093

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Doppelt Acnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446516520

PECOS Enrollment IDI20180829002413

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

196 services50 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

178 services31 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

32 services27 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sinai-Grace Hospital

Acute Care Hospitals · Detroit, MI

1/5 CMS rating

OwnershipProprietary

CMS Certification Number230024

Location6071 W Outer DriveDetroit, MI 48235 · Wayne County

Emergency services Birthing friendly

Harper University Hospital

Acute Care Hospitals · Detroit, MI

1/5 CMS rating

OwnershipProprietary

CMS Certification Number230104

Location3990 John R StreetDetroit, MI 48201 · Wayne County

Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI

1/5 CMS rating

OwnershipProprietary

CMS Certification Number230273

Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

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 20

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

DR. MICHEAL BUGGIA M.D.

Emergency Medicine