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

Dr. Rudy Jerome Vervaeke, MD

Individual provider Addiction Medicine (Internal Medicine) Physician · NPI 1922108927

Dr. Rudy Jerome Vervaeke, MD is an Internal Medicine in Saint Clair Shores, Michigan. Graduated from Wayne State University School of Medicine in 1981, 45 years ago. Practices with Innovation Medicine PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
45
Trained at
Wayne State University School of Medicine
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

21420 Harper Ave Ste 2
Saint Clair Shores, MI 48080-3607
Phone: (586) 775-7400
Fax: (586) 775-0091
Show map & directions

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

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X · Licence 4301044898 (MI)

Record details

NPI number1922108927
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESNovember 20, 2015

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesADDICTION MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Group practice Innovation Medicine Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Clair Shores