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THEODORE GEORGE ENGELMANN DO
NPI 1952323016
General Practice in Commerce Twp, MI

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
1990 UNION LAKE RD STE 100, COMMERCE TWP, MI 48382(248) 303-4680(248) 572-4995 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodore George Engelmann Do NPPES

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

THEODORE GEORGE ENGELMANN DO (NPI 1952323016) is an individual general practice provider in Commerce Twp, Michigan, licensed in Michigan (TE007018) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1952323016
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameTHEODORE GEORGE ENGELMANNCredential: DO
Location Address1990 UNION LAKE RD STE 100Commerce Twp, MI 48382-2200
Mailing AddressPo Box 355Lakeville, MI 48366-0355 · (248) 303-4680 · Fax (248) 572-4995
Phone(248) 303-4680
Fax(248) 572-4995
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 15, 2024
NPPES CertifiedJuly 15, 2024
✔ NPI 1952323016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · TE007018
Definition
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
Also ListedFamily MedicineTaxonomy 207Q00000X · License TE007018 (MI)
1990 UNION LAKE RD STE 100, Commerce Twp, MI 48382
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Other Identifiers 3

Other0F34006MI · Blue Cross Blue Shield
Medicaid4861124MI
Other0H74439MI · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Theodore George Engelmann Do 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 ID7911957394
PECOS Enrollment IDI20050124000694
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
98 services16 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers15 claims38 services$5.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

CLARITA MACATULA ANP-BC
Nurse Practitioner (Primary Care)
1990 UNION LAKE RD STE 100
COMMERCE TOWNSHIP, MI 48382
Oakland County (248) 363-7109
UNION LAKE MEDICAL CENTER PC
Clinic/Center (Primary Care)
1990 UNION LAKE RD STE 100
COMMERCE TOWNSHIP, MI 48382
Oakland County (248) 363-7109
COMMERCE MEDICAL CLINIC
Internal Medicine
1990 UNION LAKE RD STE 100
COMMERCE TOWNSHIP, MI 48382
Oakland County (248) 363-7109

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 Theodore Engelmann's NPI number?

The NPI number for Theodore Engelmann is 1952323016. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Theodore Engelmann located?

Theodore Engelmann practices at 1990 Union Lake Rd Ste 100, Commerce Twp, MI 48382. The listed phone number is (248) 303-4680.

What is Theodore Engelmann's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Theodore Engelmann enrolled in Medicare?

Yes. Theodore Engelmann 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 Theodore Engelmann accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Theodore Engelmann 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 Theodore Engelmann was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.