DR. ANJELICA PEACOCK MD
NPI 1831651710
General Practice in Livonia, MI

NPI Status: Active since April 01, 2019

Contact Information

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154
Phone: (734) 655-4800
Fax: (734) 655-2911

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  • Individual
  • Female
  • General Practice
  • PECOS Enrolled

About ANJELICA PEACOCK

This page provides the complete NPI Profile along with additional information for Anjelica Peacock, a primary care provider established in Livonia, Michigan with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1831651710 assigned on April 2019. The practitioner's primary taxonomy code is 208D00000X with license number 35.142051 (OH). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1831651710
Provider Name
DR. ANJELICA PEACOCK MD
Gender
Female
Entity Type
Individual
Location Address
36475 FIVE MILE RD LIVONIA, MI 48154
Location Phone
(734) 655-4800
Location Fax
(734) 655-2911
Mailing Address
4500 ROCKSIDE RD INDEPENDENCE, OH 44131
Mailing Phone
(216) 278-7500
Is Sole Proprietor?
Yes
Enumeration Date
04-01-2019
Last Update Date
03-08-2022
Code Navigator

A primary care provider (PCP) like Anjelica Peacock sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
35.142051
License State
OH
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Anjelica Peacock is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831651710
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2861125272
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 2 + 5 + 2 + 7 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1831651710 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

CHUNG KIM MD

Radiology

(Diagnostic Radiology)

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 655-4800

SUSAN MOLINA M.D.

Anesthesiology

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 655-2022

GREGORY DWIGHT D.O.

Anesthesiology

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 655-2022

GLENN GALL D.O.

Anesthesiology

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 655-2022

DR. MICHAEL JOSEPH CALICE M.D.

Emergency Medicine

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 655-4800

TSEN S WOOD MD

Pathology

(Anatomic Pathology)

36475 FIVE MILE RD
ST MARY MERCY HOSPITAL
LIVONIA, MI
ZIP 48154

(734) 655-4800

NGHI KHON TRAN MD

Radiology

(Diagnostic Radiology)

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 591-1171

CELENA COWEN

Nurse Practitioner

(Acute Care)

36475 FIVE MILE RD
PRE-ANESTHESIA TESTING
LIVONIA, MI
ZIP 48154

(734) 655-2119

KHURSHEED HUSSAIN

Student in an Organized Health Care Education/Training Program

36475 FIVE MILE RD
ST MARY MERCY HOSPITAL
LIVONIA, MI
ZIP 48154

(734) 655-2727

MISTY TYBURSKI CRNA

Nurse Anesthetist, Certified Registered

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 655-4800

OLGA YAEKOUB M.D.

Student in an Organized Health Care Education/Training Program

36475 FIVE MILE RD
ST. MARY MERCY HOSPITAL
LIVONIA, MI
ZIP 48154

(734) 655-2727

DR. CHIRAG VIJAPURA D.O.

Emergency Medicine

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 655-2789

DR. PATRICK STEVEN WYCIHOWSKI M.D.

Student in an Organized Health Care Education/Training Program

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 655-2727

DR. ANIRBAN NAYAK M.D.

Student in an Organized Health Care Education/Training Program

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 655-2727

YAHYA ALBEER MD

Radiology

(Diagnostic Radiology)

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 655-4800

VARMA PENUMETCHA

Student in an Organized Health Care Education/Training Program

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 655-2727

PARTHIV NAINESH MEHTA M.D

Student in an Organized Health Care Education/Training Program

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 655-2739

RYAN KRAVETZ PA-C

Physician Assistant

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 655-4800

MRS. CHERYL MOELLER FURLONG RNC-NIC, MSN, NNP-BC

Nurse Practitioner

(Neonatal)

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 655-1183

DR. MICHAEL STEPHAN BRANDON JR. D.O.

Emergency Medicine

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154

(734) 655-2789

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831651710, enumerated as an "individual" on April 01, 2019.

The provider is located at 36475 FIVE MILE RD LIVONIA, MI 48154 and the phone number is (734) 655-4800.

General Practice with taxonomy code 208D00000X.