Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benedict P. Pellerito, MD

Individual provider Orthopaedic Surgery Physician · NPI 1780655969

Benedict P. Pellerito, MD is an Orthopedic Surgery in St Clair Shores, Michigan. Qualified in 1993, 33 years ago. Practices with Henry Ford Semi Medical Group, a 253-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
33
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

24715 Little Mack Ave Ste 100
St Clair Shores, MI 48080-3207
Phone: (586) 779-7970
Fax: (586) 779-7748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 4301061624 (MI)

Record details

NPI number1780655969
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 27, 2006
Last updated in NPPESFebruary 19, 2014
Mailing address24715 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-3207

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Henry Ford Semi Medical Group — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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