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DR. MARY E PETTY-DUDLEY M.D.
NPI 1902853252
Internal Medicine in Southgate, MI

Active since May 30, 2006
3 HERITAGE DR, SUITE 1, SOUTHGATE, MI 48195(734) 283-3222(734) 283-4006 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2019, May 13, 2016 (2 updates tracked since 2016).

About Dr. Mary E Petty-dudley M.d. NPPES

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

DR. MARY E PETTY-DUDLEY M.D. (NPI 1902853252) is an individual internal medicine provider in Southgate, Michigan, licensed in Michigan (MP058113) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1902853252
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARY E PETTY-DUDLEYCredential: M.D.
Location Address3 HERITAGE DR, SUITE 1Southgate, MI 48195-3000
Mailing Address30274 Young DrGibraltar, MI 48173-9457 · (313) 831-8303 · Fax (313) 831-8307
Phone(734) 283-3222
Fax(734) 283-4006
Sole ProprietorYes
Enumeration DateMay 30, 2006
Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration
✔ NPI 1902853252 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 · MP058113
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.
3 HERITAGE DR, Southgate, MI 48195
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Other Names 1

Other Name (5)Dr. Mary E Petty M.d.

Other Identifiers 4

Other110825451MI · Bcbs
Other102435MI · Great Lakes
OtherMP058113MI · Bcbs
Medicaid4503142 TYPE 10MI

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
34%132 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL NESHEWAT M.D.
Internal Medicine
3 HERITAGE DR, SUITE 1
SOUTHGATE, MI 48195
Wayne County (734) 283-3222
MARY E PETTY MD PC
Family Medicine
3 HERITAGE DR, SUITE 1
SOUTHGATE, MI 48195
Wayne County (734) 283-3222

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 Mary Petty-dudley's NPI number?

The NPI number for Mary Petty-dudley is 1902853252. It was assigned to this individual provider in the NPPES registry on May 30, 2006. The provider is also known as Dr. Mary E Petty M.D..

Where is Mary Petty-dudley located?

Mary Petty-dudley practices at 3 Heritage Dr Suite 1, Southgate, MI 48195. The listed phone number is (734) 283-3222.

What is Mary Petty-dudley's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Petty-dudley was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.