Individual provider Active NPI

Justine Pearl, M.D.

  • Neurological Surgery Physician
  • Traverse City, MI
National Provider Identifier
1093260929
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301111018 Issued in MI
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

Updated by the provider on Nov 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160920000929 MI Practitioner - Neurosurgery 1153618103 Reassigns benefits to 3 organizations

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
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8540

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301
  • Munson Healthcare Manistee Hospital Hospital, Manistee, MI, CCN 230303
  • Paul Oliver Memorial Hospital Hospital, Frankfort, MI, CCN 231300
  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
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

OrganizationSpecialtyStatusNew patients
Munson Medical Center CurrentSince Apr 1, 2020 Accepting new patients
Munson Medical Center CurrentSince Apr 1, 2020 Accepting new patients
Munson Healthcare Grayling CurrentSince Aug 1, 2020 Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Healthcare Grayling CurrentSince Aug 1, 2020 Accepting new patients
Jawad a Shah MD PC CurrentSince Sep 1, 2016 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 CurrentSince Sep 1, 2016 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

  • Direct secure messaging: justine.pearl@gts.eclinicaldirectplus.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.