NPIMap

Individual provider Active NPI

Michael Valitutto, DO

  • Internal Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1326074378
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101012365 Issued in MI
Practice address
1717 Shaffer St
Ste 229
Kalamazoo, MI 49048-1647
Phone
(269) 226-8321
NPI assigned
Jun 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101012365 MI Primary

Addresses

Primary practice location

1717 Shaffer St
Ste 229
Kalamazoo, MI 49048-1647

Mailing address

5943 Stadium Dr
Ste 3
Kalamazoo, MI 49009-3016

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
I20050510000022 MI Practitioner - Internal Medicine 1557301520 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians
Ascension Borgess Lee HospitalGroup PAC ID 7719881002, 28 clinicians

Practice addresses (Care Compare)

3025 Gull Rd
Kalamazoo, MI 49048-1281
Phone (269) 552-2225

3035 Capital Ave SW
Battle Creek, MI 49015-4334

420 W High St
Dowagiac, MI 49047-1943

520 Main St
Dowagiac, MI 49047-1762

555 Linn St
Allegan, MI 49010-1524
Phone (269) 381-3963

7901 Angling Rd
Portage, MI 49024-0714

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101012365MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Kalamazoo Inc CurrentSince Jul 5, 2006 Accepting new patients
Beacon Dowagiac Inc CurrentSince May 1, 2014 Accepting new patients
Beacon Kalamazoo Inc Internal Medicine CurrentSince Dec 1, 2010 Accepting new patients
Beacon Dowagiac Inc CurrentSince May 1, 2014 Accepting new patients
Promed Healthcare CurrentSince Mar 1, 2009 Accepting new patients
Beacon Medical Group Michigan Inc Internal Medicine Current Accepting new patients
Beacon Kalamazoo Inc CurrentSince Jul 5, 2006 Accepting new patients
Beacon Kalamazoo Inc Current Accepting new patients
Beacon Medical Group Michigan Inc Internal Medicine CurrentSince Mar 1, 2009 Accepting new patients
Beacon Dowagiac Inc Past Accepting new patients
Metropolitan Hospital Past Accepting new patients

Locations

3198 Solutions Ctr
Chicago, IL 60677

551 Linn St
Ste 250
Allegan, MI 49010

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

520 Main St
Dowagiac, MI 49047
Phone (269) 390-0536

520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1717 Shaffer St
Ste 229
Kalamazoo, MI 49048
Phone (269) 381-0764

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

5943 Stadium Dr
Ste 3
Kalamazoo, MI 49009
Phone (269) 226-8315

345 Naomi St
Plainwell, MI 49080
Phone (269) 552-0100

7895 Currier Dr
Portage, MI 49002
Phone (269) 321-7120

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

8450 N 32nd St
Richland, MI 49083
Phone (269) 226-2500

Organizations & group practices 11

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 6

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326074378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 STADIUM DR",
            "address_2": "STE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST",
            "address_2": "STE 229",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481647",
            "telephone_number": "269-226-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALITUTTO",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101012365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.