David A Listello, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

4301062432 Issued in MI

Practice address

3200 Eagle Park Dr NE
Ste 102
Grand Rapids, MI 49525-7057

Phone

(616) 285-9090

Fax

(616) 285-7947

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Pulmonary Disease

Education

Wayne State University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine of West Michigan PLLCGroup PAC ID 9335243484, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: dlistello3564@epic00.corewelldirect.org

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.

• Internal Medicine of West Michigan PLLC

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1619028412
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1508973538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 EAGLE PARK DR NE",
            "address_2": "SUITE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257057",
            "telephone_number": "616-285-9090",
            "fax_number": "616-285-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 EAGLE PARK DR NE",
            "address_2": "STE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257057",
            "telephone_number": "616-285-9090",
            "fax_number": "616-285-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTELLO",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301062432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3207721",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "2904154311",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Williams Bratsburg, LMSW, LLC
• Catherine M Lisenbee, M.A.,CCC-A
• Kimberly Lynn Liskey Comiskey, PA
• Sydney Lisowsky
• Annita List, LMSW
• Listening Ear Counseling Group
• Jenna Lee Liszewski, LMSW
• Arashdeep Kaur Litt, MD
• Kerstin Levi Little
• Skylar Bleu Littlefield

• Pulmonary Disease Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.

Verify at the official NPI Registry.