Individual provider Active NPI

Ivana Maria Vettraino, M.D.

  • Maternal & Fetal Medicine Physician
  • Flint, MI
National Provider Identifier
1417007428
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
100075 Issued in MO
Practice address
1 Hurley PLZ # 9W
Flint, MI 48503-5902
Phone
(810) 262-4787
Fax
(810) 262-9243
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301062868 MI
Maternal & Fetal Medicine Physician 207VM0101X 73409-20 WI
Maternal & Fetal Medicine Physician 207VM0101X 4301062868 MI
Maternal & Fetal Medicine Physician 207VM0101X M-13596 ID
Maternal & Fetal Medicine Physician 207VM0101X 100075 MO Primary

Addresses

Primary practice location

1 Hurley PLZ # 9W
Flint, MI 48503-5902

Mailing address

1 Hurley PLZ
Attn Professional Billing Dept
Flint, MI 48503-5902
Phone (810) 262-9002

Other practice location 1

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Other identifiers 3

IdentifierTypeStateIssuer
4735826MedicaidMI
OB56025OtherMIBCBSM GROUP
OB56025OtherMIMEDICARE GROUP

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ivettraino255583@direct.metrohealth.org
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri
Direct Messaging Address ivettraino2165@direct.hurleymc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MO, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050713000404 MI Practitioner - Obstetrics/Gynecology 0446286249 Reassigns benefits to 1 organization
I20170809002441 MO Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 0446286249 Reassigns benefits to 2 organizations
I20210901003409 OH Practitioner - Obstetrics/Gynecology 0446286249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Michigan Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians

Practice addresses (Care Compare)

1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787

1 Hurley PLZ
Flint, MI 48503-5902

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-13596IDMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC CurrentSince May 15, 2023 Accepting new patients
Hurley Medical Center CurrentSince Jun 1, 2005 Accepting new patients
Hurley Medical Center Obstetrics & Gynecology CurrentSince Jun 1, 2005 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Mercy Hospitals East Communities CurrentSince Aug 1, 2017 Accepting new patients
The Metrohealth System CurrentSince Aug 12, 2023 Accepting new patients
Hurley Medical Center Current Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 21, 2019 Accepting new patients
Mercy Hospitals East Communities CurrentSince Aug 1, 2017 Accepting new patients
The Metrohealth System Current Accepting new patients
The Metrohealth System Obstetrics & Gynecology CurrentSince Aug 12, 2023 Accepting new patients
Hurley Medical Center Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

1 Hurley Plz
Ste 9W
Flint, MI 48503

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1 Hurley Plz
#9W
Flint, MI 48503
Phone (810) 262-4787

448 State Highway 248
Ste 150
Branson, MO 65616
Phone (417) 336-6713

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

621 S New Ballas Rd
Ste 20
Saint Louis, MO 63141
Phone (314) 951-5000

621 S New Ballas Rd
Ste 2009B
Saint Louis, MO 63141
Phone (314) 251-6062

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

621 S New Ballas Rd
Ste 2007B
Saint Louis, MO 63141
Phone (314) 951-5000

1965 S Fremont Ave
Ste 170
Springfield, MO 65804
Phone (417) 820-3175

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Interoperability endpoints

  • Direct secure messaging: ivettraino575642@direct.emplifyhealth.org
  • Direct secure messaging: ivettraino2165@direct.hurleymc.com

Organizations & group practices 13

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.

View all 13

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1417007428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "address_2": "ATTN PROFESSIONAL BILLING DEPT",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-262-9002",
            "fax_number": "810-262-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ # 9W",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-262-4787",
            "fax_number": "810-262-9243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Metrohealth Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441091900",
            "country_code": "US",
            "telephone_number": "216-778-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VETTRAINO",
        "first_name": "IVANA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301062868",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WI",
            "license": "73409-20",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MI",
            "license": "4301062868",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "ID",
            "license": "M-13596",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MO",
            "license": "100075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4735826",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP",
            "identifier": "OB56025",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "OB56025",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ivettraino255583@direct.metrohealth.org",
            "affiliation": "N",
            "address_1": "2500 Metrohealth Dr",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441091900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "402 N Keene St Ste 406",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652018369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ivettraino2165@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "1 Hurley Plz # 9W",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485035902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.