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PETER J POLVERINI DDS DMSC NPI 1699808857


NPI Information

NPI: 1699808857
Provider Name: PETER J POLVERINI, DDS, DMSC
Classification: Dentist - 1223P0106X
Entity Type: Individual

Specialization: Oral and Maxillofacial Pathology

Organization: REGENTS OF THE UNIVERSITY OF MICHIGAN ORAL PATHOLOGY

PECOS Registration: Yes

Address:
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
Phone: (734) 763-6933
Get Directions

Peter J Polverini, DDS, DMSC is an oral and maxillofacial pathology dentist in Ann Arbor, MI with 51 years of experience. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. Peter J Polverini, DDS, DMSC NPI is 1699808857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109-078
Phone: (734) 763-6933
Fax: (734) 763-5142

The NPI 1699808857 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)

The enumeration date for this NPI number is 3/14/2007 and was last updated on 1/29/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist2901016040MICHIGANNo
21223P0106XDentistOral and Maxillofacial Pathology2901016040MICHIGANYes
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology2901016040MICHIGANNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1195816845OTHERMICHIGANBCBS OF MI MED SURGICAL
22667583MEDICAIDOHIO
34070694MEDICAIDMICHIGAN
44874042MEDICAIDMICHIGAN
5D160400OTHERMICHIGANBCBS OF MI DENTAL
64504373MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.