Individual provider Active NPI

Rosanne D Vasiloff, MD

  • Family Medicine Physician
  • Saugatuck, MI
National Provider Identifier
1275893976
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301512000 Issued in MI
Practice address
6490 Blue Star Hwy
Saugatuck, MI 49453-9727
Phone
(269) 857-3208
NPI assigned
May 29, 2012
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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 4301512000 MI Primary

Addresses

Primary practice location

6490 Blue Star Hwy
Saugatuck, MI 49453-9727

Mailing address

6490 Blue Star Hwy
Saugatuck, MI 49453-9727
Phone (269) 857-3208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150212000018 IL Practitioner - Family PracticePractitioner - Internal Medicine 1658599691 Reassigns benefits to 1 organization
I20241002000459 MI Practitioner - Family Practice 1658599691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Holland Community HospitalGroup PAC ID 0446157291, 174 clinicians

Practice addresses (Care Compare)

3951 W Milham Ave
Portage, MI 49024-1088
Phone (269) 447-1689

577 Michigan Ave
Holland, MI 49423-4911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Hospital Association CurrentSince Nov 5, 2014 Accepting new patients
Holland Community Hospital Family Medicine CurrentSince Sep 9, 2024 Accepting new patients
Central Dupage Hospital Association CurrentSince Nov 5, 2014 Accepting new patients
Holland Community Hospital Current Accepting new patients
Holland Community Hospital Family Medicine CurrentSince Sep 9, 2024 Accepting new patients
Holland Community Hospital Past Accepting new patients

Locations

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

415 Wiley Rd
Ste 102
Douglas, MI 49406
Phone (269) 857-3208

577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190

Interoperability endpoints

  • Direct secure messaging: rosanne.vasiloff@holland.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1275893976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 BLUE STAR HWY",
            "city": "SAUGATUCK",
            "state": "MI",
            "postal_code": "494539727",
            "telephone_number": "269-857-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 BLUE STAR HWY",
            "city": "SAUGATUCK",
            "state": "MI",
            "postal_code": "494539727",
            "telephone_number": "269-857-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILOFF",
        "first_name": "ROSANNE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301512000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugatuck, MI

Sources for this page

Verify at the official NPI Registry.