Scott Richard Chicotka, M.D.
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Grand Rapids, MI
NPI 1174899306 · NPPES record last updated Nov 17, 2025
Key facts
- NPI
- 1174899306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 4301511258 (MI)
- Practice address
- 221 Michigan St NE Ste 3003
Grand Rapids, MI 49503-2543 - Phone
- (616) 459-7258
- NPI assigned
- Apr 2, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Thoracic Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- California Cardiovascular and Thoracic Surgeons
Spectrum Health Primary Care Partners
Practice addresses (Care Compare)
168 N Brent St
Suite 508
Ventura, CA 93003-2840
Phone (805) 643-2375
221 Michigan St NE
300 Corewell Health Medical Group West
Grand Rapids, MI 49503-2537
Phone (616) 459-7258
Hospital & facility affiliations
- Corewell Health Visiting Nurse Association
- Elara Caring
- Spectrum Health
- Community Memorial Hospital - Ventura
- Corewell Health Pennock Hospital
- Spectrum Health United Hospital
- Corewell Health Reed City Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 14 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210510002213 | CA | Practitioner - Thoracic Surgery | 7517376205 | Reassigns benefits to 3 organizations |
| I20240325003411 | MI | Practitioner - Thoracic Surgery | 7517376205 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A153459 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 4301511258 | MI | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current |
Accepting new patients | |
| Spectrum Health Primary Care Partners | Current |
Accepting new patients | |
| County of Ventura | Current |
Accepting new patients | |
| County of Ventura | Current | Accepting new patients | |
| County of Ventura | Current |
Accepting new patients | |
| California Cardiovascular and Thoracic Surgeons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current |
Accepting new patients |
| Ventura County Surgical Associates | Surgery | Current |
Accepting new patients |
| Spectrum Health Hospitals | Past | Accepting new patients |
Locations
168 N Brent St
Ste 508
Ventura, CA 93003
Phone (805) 218-0122
800 S Victoria Ave
#L4640
Ventura, CA 93009
300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
221 Michigan St NE
Ste 300
Grand Rapids, MI 49503
Phone (616) 459-7258
221 Michigan St NE
Ste 3003
Grand Rapids, MI 49503
Phone (616) 459-7258
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
Interoperability endpoints
- schicotka2222108@epic00.corewelldirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 4301511258 | MI | Yes |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A153459 | CA |
Addresses
Primary practice location
221 Michigan St NE Ste 3003
Grand Rapids, MI 49503-2543
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Other practice location 1
300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 652-6000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | scott.chicotka@ventura.cernerdirect.com | Direct | |
| Direct Messaging Address | schicotka2222108@epic00.corewelldirect.org | ||
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/ |
Other providers in Grand Rapids, MI
- Saddie Chiaro
- James P Chiavaras
- Christa Marie Chick
- Natoya Chick
- Christian Chickering
- Jenny Lynn Chien
- Randy L Chilcote
- Mary Beth Child
- Joanna J Childers
- Childhood Behavior Consulting Services
All providers in Grand Rapids, MI · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.