DR. ANDI PESHKEPIJA (M.D.) – Vascular Surgery Physician, NPI 1912347279

DR. ANDI PESHKEPIJA (M.D.) is a healthcare provider. based in Lansing, Michigan. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 4301501902 (MI). The NPI Number for DR. ANDI PESHKEPIJA (M.D.) is 1912347279

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDI PESHKEPIJA (M.D.)
NPI
1912347279
Phone
(517) 267-2460
Address
1200 E MICHIGAN AVE STE 655
Enumeration Date
1 July 2013
Last Update Date
6 May 2020

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
3139162600
Graduation Year
2013 (13 years ago)
PAC ID
1951651629
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20200401000759
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

242 VASCULAR SURGERY in MI

Provider Addresses for DR. ANDI PESHKEPIJA (M.D.)

  • 1200 E MICHIGAN AVE STE 655

    LANSING, MI 489121837

    Phone: (517) 267-2460

    Type: Mailing

  • 2799 W GRAND BLVD # K8

    DETROIT, MI 482022608

    Phone: (800) 436-7936

    Type: Location

  • 2333 Biddle Ave Ste 1A500

    Wyandotte, MI 481924668

    Phone: (800) 436-7936

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $11,215.

Total Amount is formed as General ($11,215) + Research ($0) + Ownership ($0) = $11,215.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($3,544).

Total Amount

$11,215

General + Research + Ownership

Payments

73

Total payment records

General Amount

$11,215

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200401000759IVascular SurgeryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93970Ultrasound study of arm or leg veins with compression and maneuvers148145$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers121119$0
93880Ultrasound of both sides of head and neck blood flow7169$0
93922Ultrasound study of arm and leg arteries5652$0
99215Established patient office or other outpatient visit, 40-54 minutes4438$0
View full utilization report →

Insurance plans in this area (ZIP 48912)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

How do I look up DR. ANDI PESHKEPIJA (M.D.) by NPI?
Use NPI 1912347279 when you need to reference DR. ANDI PESHKEPIJA (M.D.) in forms, claims, or directories.
Is DR. ANDI PESHKEPIJA (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. ANDI PESHKEPIJA (M.D.) list a primary specialty?
If you are matching referrals, note Vascular Surgery Physician for DR. ANDI PESHKEPIJA (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. ANDI PESHKEPIJA (M.D.)?
The snapshot lists Lansing, Michigan for DR. ANDI PESHKEPIJA (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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