Individual provider Active NPI

Michael Christopher Vizachero, M.D.

  • Family Medicine Physician
  • Shelbyville, MI
National Provider Identifier
1164834818
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301112721 Issued in MI
Practice address
2880 Mission Dr
Shelbyville, MI 49344-9580
Phone
(269) 397-1760
Fax
(269) 397-1764
NPI assigned
May 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301112721 MI Primary

Addresses

Primary practice location

2880 Mission Dr
Shelbyville, MI 49344-9580

Mailing address

2880 Mission Dr
Shelbyville, MI 49344-9580
Phone (269) 397-1760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251122000466 TX Practitioner - Family Practice 9436473808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Match-E-Be-Nash-She-Wish Band of Pottawatomi IndiansGroup PAC ID 9133350952, 6 clinicians
Center for Physical Rehabilitation IncGroup PAC ID 6901717768, 352 clinicians
Center for Physical Rehabilitation and Therapy LPGroup PAC ID 0941513303, 365 clinicians

Practice addresses (Care Compare)

2880 Mission Dr
Shelbyville, MI 49344-9580
Phone (269) 397-1760

5060 Cascade Rd
Grand Rapids, MI 49546-3808

5060 Cascade Rd SE
Grand Rapids, MI 49546-3808

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Match-E-Be-Nash-She-Wish Band of Pottawatomi Indians CurrentSince Sep 6, 2025 Accepting new patients
Spectrum Health Primary Care Partners PastSince Oct 9, 2022 Accepting new patients
Metropolitan Hospital Past Accepting new patients

Organizations & group practices 4

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 1

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": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1164834818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 MISSION DR",
            "city": "SHELBYVILLE",
            "state": "MI",
            "postal_code": "493449580",
            "telephone_number": "269-397-1760",
            "fax_number": "269-397-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 MISSION DR",
            "city": "SHELBYVILLE",
            "state": "MI",
            "postal_code": "493449580",
            "telephone_number": "269-397-1760",
            "fax_number": "269-397-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZACHERO",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301112721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, MI

Sources for this page

Verify at the official NPI Registry.