Individual provider Active NPI

Michael X Piotrowski II, DO

  • Family Medicine Physician
  • Greenwood, SC
National Provider Identifier
1104500693
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
89742 Issued in SC
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

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 GroupGroup PAC ID 6002953916, 393 clinicians

Practice addresses (Care Compare)

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111

Hospital & facility affiliations

  • Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
LL89742SCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Self Regional Healthcare Partners Family Medicine CurrentSince Sep 7, 2024 Accepting new patients
Self Regional Healthcare Partners Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Self Regional Healthcare Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Self Regional Healthcare Family Medicine Current Accepting new patients
Self Medical Group CurrentSince Sep 1, 2024 Accepting new patients
Self Medical Group CurrentSince Sep 1, 2024 Accepting new patients
Self Regional Healthcare CurrentSince Nov 1, 2025 Accepting new patients
Self Regional Healthcare Partners CurrentSince Sep 7, 2024 Accepting new patients
Self Medical Group Current Accepting new patients
Self Medical Group PastSince May 7, 2024 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.