NPIMap

Individual provider Active NPI

Ivette Margarita Zarrillo, M.D.

  • General Practice Physician
  • Bay City, MI
National Provider Identifier
1295931772
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301108932 Issued in MI
Practice address
1484 Straits Dr Ste 5
Bay City, MI 48706-8718
Phone
(989) 667-8740
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 11990 PR
General Practice Physician 208D00000X 4301108932 MI Primary

Addresses

Primary practice location

1484 Straits Dr Ste 5
Bay City, MI 48706-8718

Mailing address

1484 Straits Dr Ste 5
Bay City, MI 48706-8718

Other names 1

  • Ivette Margarita Lamboy Medina Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160201002824 MI Practitioner - General Practice 0244534923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Troy, MI 48084
Phone (248) 824-6060

Bay City, MI 48706
Phone (989) 667-8740

Okemos, MI 48864
Phone (517) 347-4085

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11990PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iah of Michigan, PLLC CurrentSince Jan 11, 2016 Accepting new patients
Vpa PC General Practice CurrentSince Jan 11, 2016 Accepting new patients
Vpa PC General Practice CurrentSince Jan 11, 2016 Accepting new patients
Vpa PC General Practice Current Accepting new patients

Locations

1484 Straits Dr
Ste 5
Bay City, MI 48706
Phone (989) 667-8740

2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085

2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

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 9

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1295931772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 STRAITS DR STE 5",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 STRAITS DR STE 5",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068718",
            "telephone_number": "989-667-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARRILLO",
        "first_name": "IVETTE",
        "middle_name": "MARGARITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11990",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301108932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVETTE",
            "last_name": "LAMBOY MEDINA",
            "middle_name": "MARGARITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.