Active NPI
Justine Pearl, M.D.
- Neurological Surgery Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 4301111018
- Practice address
- 1221 Sixth St Ste 300
Traverse City, MI 49684-2360 - Phone
- (231) 392-0640
- Fax
- (231) 392-0643
- NPI assigned
- Aug 21, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 4301111018 | MI | Primary |
Addresses
Primary practice location
1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Mailing address
1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Phone (231) 392-0640
Other practice location 1
4800 S Saginaw St
Suite 1800
Flint, MI 48507-2677
Phone (810) 732-8336
Other practice location 2
550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8540
Other practice location 3
217 S Madison St
Traverse City, MI 49684
Phone (231) 392-8400
Other practice location 4
1010 W North Down River Rd
Grayling, MI 49738
Phone (989) 348-0800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Justine.pearl@gts.eclinicaldirectplus.com |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8540
Hospital & facility affiliations
- Munson Medical Center
- Kalkaska Memorial Health Center
- Munson Healthcare Manistee Hospital
- Paul Oliver Memorial Hospital
- Munson Healthcare Cadillac Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Healthcare Grayling | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Healthcare Grayling | Current | Accepting new patients | |
| Jawad a Shah MD PC | Current | Accepting new patients | |
| Munson Medical Center | Neurological Surgery | Current | Accepting new patients |
| Munson Healthcare Grayling | Current | Accepting new patients | |
| Jawad a Shah, MD PC | Neurological Surgery | Current | Accepting new patients |
Locations
2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031
3781 Momentum Pl
Chicago, IL 60689
4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108
4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152
4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336
1010 W North Down River Rd
Grayling, MI 49738
Phone (989) 348-0800
1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550
1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317
1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400
1221 Sixth St
Ste 300
Traverse City, MI 49684
Phone (231) 392-0640
550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
1221 Sixth St
Traverse City, MI 49684
Phone (231) 392-0640
21230 Dequindre Rd
Warren, MI 48091
Phone (586) 427-1000
Interoperability endpoints
- justine.pearl@gts.eclinicaldirectplus.com
- jpearl@direct.mhc.net
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Traverse City, MI
- NPI 1083761860
-
- Rural Health Clinic/Center
- Roscommon, MI
- NPI 1710383351
-
- Durable Medical Equipment & Medical Supplies
- Dearborn, MI
- NPI 1114667763
-
- Rural Health Clinic/Center
- Mio, MI
- NPI 1093349698
-
- Family Medicine Physician
- Grayling, MI
- NPI 1578961660
-
- Hematology & Oncology Physician
- Traverse City, MI
- NPI 1023372687
-
- Psychiatric Hospital Unit
- Traverse City, MI
- NPI 1891586103
-
- Neurological Surgery Physician
- Traverse City, MI
- NPI 1942685045
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kalkaska, MI
- NPI 1497751309
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- General Acute Care Hospital
- Manistee, MI
- NPI 1407949191
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
-
- Critical Access Hospital
- Frankfort, MI
- NPI 1427054360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1093260929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 SIXTH ST STE 300",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842360",
"telephone_number": "231-392-0640",
"fax_number": "231-392-0643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 SIXTH ST STE 300",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842360",
"telephone_number": "231-392-0640",
"fax_number": "231-392-0643"
}
],
"practiceLocations": [
{
"address_1": "4800 S Saginaw St",
"address_2": "SUITE 1800",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485072677",
"country_code": "US",
"telephone_number": "810-732-8336",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 Munson Ave",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496863580",
"country_code": "US",
"telephone_number": "231-935-8540",
"fax_number": "231-935-8544",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "217 S Madison St",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "49684",
"country_code": "US",
"telephone_number": "231-392-8400",
"fax_number": "231-392-8467",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 W North Down River Rd",
"address_purpose": "LOCATION",
"city": "Grayling",
"state": "MI",
"postal_code": "49738",
"country_code": "US",
"telephone_number": "989-348-0800",
"fax_number": "989-344-5725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEARL",
"first_name": "JUSTINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-21",
"last_updated": "2022-11-25",
"certification_date": "2022-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4301111018",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Justine.pearl@gts.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1221 Sixth St Ste 300",
"city": "Traverse City",
"state": "MI",
"country_code": "US",
"postal_code": "496842360",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.