ISAAC MICHAEL PERUSKI PA-C
NPI 1669098174
Physician Assistant - Surgical in West Bloomfield, MI

Active since June 20, 2020PECOS EnrolledAccepts Medicare Assignment
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322(248) 325-1000 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 3, 2023, Mar 2, 2021, Jun 24, 2020 and 1 more (4 updates tracked since 2020).

About Isaac Michael Peruski Pa-c NPPES

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

ISAAC MICHAEL PERUSKI PA-C (NPI 1669098174) is an individual surgical provider in West Bloomfield, Michigan, licensed in Colorado (PA.0007820) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Wayne State University School Of Medicine (2020).

NPPES Registry Identity

NPI1669098174
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameISAAC MICHAEL PERUSKICredential: PA-C
Location Address6777 W MAPLE RDWest Bloomfield, MI 48322-3013
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2020
Enumeration DateJune 20, 2020
Last NPPES UpdateMay 3, 20234 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
NPI 1669098174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CO · PA.0007820
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601010032 (MI)
6777 W MAPLE RD, West Bloomfield, MI 48322

Secondary Practice Location 1

Location 112605 E 16th AveAurora, CO 80045-2545 · Phone (720) 848-0000

Accepted 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

Isaac Michael Peruski Pa-c 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 ID1557787280
PECOS Enrollment IDI20230510003477
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.

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.

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
6777 W MAPLE RD, RM 60-01
WEST BLOOMFIELD, MI 48322
Clinical Nurse Specialist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Speech-Language Pathologist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Specialist/Technologist, Other (Surgical Assistant)
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Occupational Therapist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Physician Assistant (Medical)
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Emergency Medicine
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Nurse Anesthetist, Certified Registered
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322

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 Isaac Peruski's NPI number?

The NPI number for Isaac Peruski is 1669098174. It was assigned to this individual provider in the NPPES registry on June 20, 2020.

Where is Isaac Peruski located?

Isaac Peruski practices at 6777 W Maple Rd, West Bloomfield, MI 48322. The listed phone number is (248) 325-1000.

What is Isaac Peruski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Isaac Peruski enrolled in Medicare?

Yes. Isaac Peruski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Isaac Peruski accept?

Health plans from McLaren Health Plan Community, Medica and UnitedHealthcare list Isaac Peruski 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 Isaac Peruski was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.