Active NPI
Michael X Piotrowski II, DO
- Family Medicine Physician
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 89742
- Practice address
- 155 Academy Ave
Greenwood, SC 29646-3869 - Phone
- (864) 725-4865
- NPI assigned
- Jun 14, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | LL89742 | SC | |
| Family Medicine Physician | 207Q00000X | 89742 | SC | Primary |
Addresses
Primary practice location
155 Academy Ave
Greenwood, SC 29646-3869
Mailing address
104 Wells Ave
Greenwood, SC 29646-3837
Phone (864) 725-4673
Other practice location 1
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4780
Other practice location 2
102 Rockcreek Blvd
Greenwood, SC 29649-8915
Phone (864) 725-5020
Other practice location 3
22580 Highway 76 E Ste 300
Laurens, SC 29360-8460
Phone (864) 939-1070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241008000740 | SC | Practitioner - Family Practice | 1456882968 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Edward Via Col of Osteo Medicine-Carolinas Campus, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Self Medical Group
Practice addresses (Care Compare)
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111
Hospital & facility affiliations
- Self Regional Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL89742 | SC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Regional Healthcare Partners | Family Medicine | Current | Accepting new patients |
| Self Regional Healthcare Partners | Family Medicine | Current | Accepting new patients |
| Self Regional Healthcare | Family Medicine | Current | Accepting new patients |
| Self Regional Healthcare | Family Medicine | Current | Accepting new patients |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Regional Healthcare | Current | Accepting new patients | |
| Self Regional Healthcare Partners | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Past | Accepting new patients | |
| Self Regional Healthcare | Family Medicine | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 6793
Chicago, IL 60675
75 Remittance Dr
Dept 6764
Chicago, IL 60675
300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174
104 Wells Ave
Greenwood, SC 29646
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
102 Rockcreek Blvd
Greenwood, SC 29649
Phone (864) 725-5020
155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865
22580 Highway 76 E
Ste 100
Laurens, SC 29360
Phone 8648335986 ext. 54673
22580 Highway 76 E
Ste 300
Laurens, SC 29360
Phone (864) 725-4183
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Interoperability endpoints
- mpiotrowsk540003@selfregional.direct-ci.net
Organizations & group practices 13
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.
-
- Critical Access Hospital
- Edgefield, SC
- NPI 1922582105
Family Medicine, SC
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
- Rural Health Clinic/Center
- Saluda, SC
- NPI 1184219214
-
- Neurological Surgery Physician
- Greenwood, SC
- NPI 1902277270
-
- Emergency Medicine Physician
- Greenwood, SC
- NPI 1740788165
-
- Neurology Physician
- Greenwood, SC
- NPI 1285502559
-
- Family Medicine Physician
- Edgefield, SC
- NPI 1053929208
Family Medicine
-
- Community/Retail Pharmacy
- Edgefield, SC
- NPI 1073486494
-
- Gastroenterology Physician
- Greenwood, SC
- NPI 1841047560
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Pain Medicine (Anesthesiology) Physician
- Greenwood, SC
- NPI 1013867498
Hospital
-
- Pain Medicine (Anesthesiology) Physician
- Clinton, SC
- NPI 1720938103
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1104500693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WELLS AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463837",
"telephone_number": "864-725-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 ACADEMY AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463869",
"telephone_number": "864-725-4865"
}
],
"practiceLocations": [
{
"address_1": "1325 Spring St",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "296463860",
"country_code": "US",
"telephone_number": "864-725-4780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 Rockcreek Blvd",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "296498915",
"country_code": "US",
"telephone_number": "864-725-5020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22580 Highway 76 E Ste 300",
"address_purpose": "LOCATION",
"city": "Laurens",
"state": "SC",
"postal_code": "293608460",
"country_code": "US",
"telephone_number": "864-939-1070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIOTROWSKI",
"first_name": "MICHAEL",
"middle_name": "X",
"name_suffix": "II",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-14",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "SC",
"license": "LL89742",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "89742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.