Individual provider Active NPI

Thomas Carl Ziolkowski, D.O.

  • Surgery Physician
  • Greenville, MI
National Provider Identifier
1295975068
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101021507 Issued in MI
Practice address
707 S Greenville West Dr
Greenville, MI 48838-2102
Phone
(616) 754-3001
NPI assigned
Mar 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101021507 MI Primary

Addresses

Primary practice location

707 S Greenville West Dr
Greenville, MI 48838-2102

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other practice location 1

421 S Baldwin St
Greenville, MI 48838-2102
Phone (616) 225-8667

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tziolkowski112124@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150528001311 MI Practitioner - General Surgery 3577706837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of New England, College of Osteo Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health UnitedGroup PAC ID 6305836487, 90 clinicians

Practice addresses (Care Compare)

1227 W State St
Belding, MI 48809-9246
Phone (616) 794-0940

615 S Bower St
Greenville, MI 48838-2614

707 S Greenville W Dr
Greenville, MI 48838-3514
Phone (616) 225-6477

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy22
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mecosta County Medical Center Current Accepting new patients
Mecosta County Medical Center CurrentSince Oct 18, 2019 Accepting new patients
Spectrum Health United CurrentSince Jul 19, 2015 Accepting new patients
Mecosta County Medical Center CurrentSince Oct 18, 2019 Accepting new patients
Spectrum Health United Surgery CurrentSince Jul 19, 2015 Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

705 Oak St
Unit 12
Big Rapids, MI 49307
Phone (231) 796-7607

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

707 S Greenville West Dr
Greenville, MI 48838
Phone (616) 464-2810

421 S Baldwin St
Greenville, MI 48838
Phone (616) 225-8667

8650 Howard City Edmore Rd
Lakeview, MI 48850
Phone (989) 352-1800

Interoperability endpoints

  • Direct secure messaging: tziolkowski112124@epic00.shdirect.org
  • Direct secure messaging: tziolkowski112124@epic00.corewelldirect.org

Organizations & group practices 5

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 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": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1295975068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S GREENVILLE WEST DR",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382102",
            "telephone_number": "616-754-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 S Baldwin St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MI",
            "postal_code": "488382102",
            "country_code": "US",
            "telephone_number": "616-225-8667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIOLKOWSKI",
        "first_name": "THOMAS",
        "middle_name": "CARL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101021507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tziolkowski112124@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "707 S Greenville West Dr",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488382102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "707 S Greenville West Dr",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488382102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

Verify at the official NPI Registry.