Active NPI
Ivana Maria Vettraino, M.D.
- Maternal & Fetal Medicine Physician
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 100075
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4735826 | Medicaid | MI | |
| OB56025 | Other | MI | BCBSM GROUP |
| OB56025 | Other | MI | MEDICARE GROUP |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| M-13596 | ID | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Hurley Medical Center | Obstetrics & Gynecology | Current | Accepting new patients |
| Pathology Associates Inc PC | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Obstetrics & Gynecology | Current | 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
- ivettraino575642@direct.emplifyhealth.org
- 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.
-
dba Hurley OB/GYN Research & Education
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
dba Metrohealth Professional Group
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
Obstetrics & Gynecology
-
dba Hurley CRNA Group
- Certified Registered Nurse Anesthetist
- Flint, MI
- NPI 1558397653
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
-
dba Hurley Emergency Room Physicians
- Emergency Medicine Physician
- Flint, MI
- NPI 1831140367
-
- Anatomic Pathology & Clinical Pathology Physician
- Flint, MI
- NPI 1922116094
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
dba St Lukes RHC - Trinity Mountain
- Family Medicine Physician
- Mountain Home, ID
- NPI 1417297821
-
dba Metrohealth Medical Center
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
dba MetroHealth Brooklyn Memphis Pharmacy
- Pharmacy
- Cleveland, OH
- NPI 1992529911
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flint, MI
- NPI 1598717480
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.