Individual provider Active NPI

Ionut A Oravitan, MD

  • Interventional Cardiology Physician
  • Muskegon, MI
National Provider Identifier
1407842362
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301089398 Issued in MI
Practice address
1212 E Sherman Blvd
Muskegon, MI 49444-1879
Phone
(231) 672-3500
Fax
(231) 672-6199
NPI assigned
Sep 26, 2005
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 4301089398 MI Primary
Cardiovascular Disease Physician 207RC0000X 4301089398 MI

Addresses

Primary practice location

1212 E Sherman Blvd
Muskegon, MI 49444-1879

Mailing address

PO Box 1847
Muskegon, MI 49443-1847
Phone (231) 672-3500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ioravitan21697@direct.trinity-health.org Direct

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
I20070426000201 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 4082519350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Westshore Cardiology ServicesGroup PAC ID 5991932360, 36 clinicians

Practice addresses (Care Compare)

1212 E Sherman Blvd
Muskegon, MI 49444-1879
Phone (231) 672-3500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301089398MIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Westshore Cardiology Services Cardiovascular Disease CurrentSince Oct 1, 2013 Accepting new patients

Locations

1445 Sheldon Rd
Ste 102
Grand Haven, MI 49417
Phone (616) 604-8363

1212 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3500

1223 Mercy Dr
Muskegon, MI 49444
Phone (231) 672-3177

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

2525 Roberts St
Muskegon, MI 49444
Phone (231) 672-3500

Interoperability endpoints

  • Direct secure messaging: ioravitan21697@direct.trinity-health.org

Organizations & group practices 1

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 3

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1407842362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494431847",
            "telephone_number": "231-672-3500",
            "fax_number": "231-672-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441879",
            "telephone_number": "231-672-3500",
            "fax_number": "231-672-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORAVITAN",
        "first_name": "IONUT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301089398",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301089398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ioravitan21697@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "MHPP Westshore Cardiology",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office",
            "address_1": "1212 E Sherman Blvd",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494441879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.