Individual provider Active NPI

Michelle L Bisutti, MD

  • Family Medicine Physician
  • Zanesville, OH
National Provider Identifier
1265646376
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.090054 Issued in OH
Practice address
2800 Maple Ave
Zanesville, OH 43701-1716
Phone
(740) 454-4585
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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 35.090054 OH Primary

Addresses

Primary practice location

2800 Maple Ave
Zanesville, OH 43701-1716

Mailing address

2951 Maple Ave.
Mob II Garden Level - Cvo
Zanesville, OH 43701
Phone (740) 454-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080508000008 OH Practitioner - Family Practice 8527147123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

2800 Maple Ave
Suite 100P
Zanesville, OH 43701-1716
Phone (740) 454-4585

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.090054OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carelife Imaging, LLC CurrentSince Sep 1, 2021 Accepting new patients
Genesis Medical Group, LLC CurrentSince Jun 20, 2017 Accepting new patients
Mount Carmel Health System Family Medicine Current Accepting new patients
Mount Carmel Health System CurrentSince Aug 28, 2013 Accepting new patients
Genesis Medical Group, LLC CurrentSince Jun 20, 2017 Accepting new patients
Genesis Medical Group LLC Family Medicine CurrentSince Jun 20, 2017 Accepting new patients

Locations

3000 Meadow Pond Ct
Ste 200
Grove City, OH 43123
Phone (614) 871-7130

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

23 N Maysville Ave
Zanesville, OH 43701
Phone (740) 453-0693

2800 Maple Ave
Zanesville, OH 43701
Phone (740) 453-7725

2800 Maple Ave
Ste 100P
Zanesville, OH 43701
Phone (740) 454-4585

Organizations & group practices 6

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 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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1265646376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 MAPLE AVE.",
            "address_2": "MOB II GARDEN LEVEL - CVO",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "43701",
            "telephone_number": "740-454-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011716",
            "telephone_number": "740-454-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISUTTI",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.090054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.