Active NPI
Justin Pyle
- Anesthesiology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4704274524
- Practice address
- 200 Jefferson Ave SE
Grand Rapids, MI 49503-4502 - Phone
- (616) 685-5000
- NPI assigned
- Dec 22, 2017
- Last updated
- Oct 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4704274524 | MI | Primary |
Addresses
Primary practice location
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Mailing address
2650 Pebble CT
Zeeland, MI 49464-8984
Other practice location 1
8333 Felch St
Zeeland, MI 49464-2608
Phone (616) 364-4200
Other practice location 2
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Phone (616) 364-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (734) 263-2400
3333 Evergeen Dr NE
Grand Rapids, MI 49525-9493
Phone (616) 364-4200
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
8333 Felch St
Zeeland, MI 49464-2608
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.16 of 100
- Quality
- 95.73
- Improvement activities
- 40
- Cost
- 75.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medical Consultants, PC | Single Specialty | Current | Accepting new patients |
| Kalamazoo Anesthesiology P C | Single Specialty | Current | Accepting new patients |
Locations
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
3333 Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 284-3132
4055 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 252-4410
900 Peeler St
Kalamazoo, MI 49008
Phone (269) 345-8618
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
8333 Felch St
Zeeland, MI 49464
Phone (616) 741-3790
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1124063078
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1225016926
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1063710689
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
dba Corewell Health Zeeland Hospital
- General Acute Care Hospital
- Zeeland, MI
- NPI 1275536344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1093221319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 PEBBLE CT",
"city": "ZEELAND",
"state": "MI",
"postal_code": "494648984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 JEFFERSON AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034502",
"telephone_number": "616-685-5000"
}
],
"practiceLocations": [
{
"address_1": "8333 Felch St",
"address_purpose": "LOCATION",
"city": "Zeeland",
"state": "MI",
"postal_code": "494642608",
"country_code": "US",
"telephone_number": "616-364-4200",
"fax_number": "616-364-7347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 Evergreen Dr NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495259493",
"country_code": "US",
"telephone_number": "616-364-4200",
"fax_number": "616-364-7347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PYLE",
"first_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-22",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4704274524",
"primary": true
}
],
"identifiers": [],
"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 Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.