Active NPI
Joseph N Pigorsh, PAC
- Surgical Physician Assistant
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 5601003696
- Practice address
- 1111 Leffingwell Ave NE
Ste 100
Grand Rapids, MI 49525-6406 - Phone
- (616) 459-7101
- Fax
- (616) 464-6170
- NPI assigned
- Oct 4, 2005
- Last updated
- Jun 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5601003696 | MI | Primary |
Addresses
Primary practice location
1111 Leffingwell Ave NE
Ste 100
Grand Rapids, MI 49525-6406
Mailing address
1111 Leffingwell Ave NE
Ste 100
Grand Rapids, MI 49525-6406
Phone (616) 459-7101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970022260 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Physical Rehabilitation Inc
Practice addresses (Care Compare)
1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406
Phone (616) 459-7101
5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808
5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.51 of 100
- Quality
- 49.04
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 82.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601003696 | MI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates of Grand Rapids, PC | Current | Accepting new patients | |
| Orthopaedic Associates of Grand Rapids PC | Current | Accepting new patients |
Locations
1111 Leffingwell Ave NE
Grand Rapids, MI 49525
Phone 61645971011381
1111 Leffingwell Ave NE
Ste 100
Grand Rapids, MI 49525
Phone 61645971011381
230 Michigan St NE
Ste 300
Grand Rapids, MI 49503
Interoperability endpoints
- joseph.pigorsh.p1@direct.oam.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Orthopaedic Associates of Michigan
- Orthopaedic Surgery Physician
- Grand Rapids, MI
- NPI 1023021300
-
- Physical Therapy Clinic/Center
- Grand Rapids, MI
- NPI 1902288863
-
dba Orthopaedic Associates of Michigan
- Durable Medical Equipment & Medical Supplies
- Greenville, MI
- NPI 1477868560
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Metro Health Hospital
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1043207111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 LEFFINGWELL AVE NE",
"address_2": "STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495256406",
"telephone_number": "616-459-7101",
"fax_number": "616-464-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 LEFFINGWELL AVE NE",
"address_2": "STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495256406",
"telephone_number": "616-459-7101",
"fax_number": "616-464-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIGORSH",
"first_name": "JOSEPH",
"middle_name": "N",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MI",
"license": "5601003696",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "970022260",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.