Individual provider Active NPI

Kurt Rudiger Piatkowski, DO

  • Orthopaedic Surgery Physician
  • Marshall, MI
National Provider Identifier
1558335299
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101014594 Issued in MI
Practice address
203 Winston Dr
Marshall, MI 49068-8526
Phone
(269) 789-4380
Fax
(269) 789-4381
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 3767 WV
Orthopaedic Surgery Physician 207X00000X 5101014594 MI Primary

Addresses

Primary practice location

203 Winston Dr
Marshall, MI 49068-8526

Mailing address

176 Dawkins Dr
Lewisburg, WV 24901-9302
Phone (304) 645-6083

Other identifiers 1

IdentifierTypeStateIssuer
200Z800130OtherMIBCBS GROUP

Other names 1

  • Kurt Rudiger Piatkowski Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AR, MS, TN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20080409000531 MI Practitioner - Orthopedic Surgery 9638107188 Reassigns benefits to 1 organization
I20170525000513 AR Practitioner - Orthopedic Surgery 9638107188 Reassigns benefits to 1 organization
I20240806000545 MS Practitioner - Orthopedic Surgery 9638107188 Reassigns benefits to 1 organization
I20240827001680 TN Practitioner - Orthopedic Surgery 9638107188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sark OplGroup PAC ID 7810261088, 5 clinicians

Practice addresses (Care Compare)

1507 Linwood Dr
Paragould, AR 72450-5818
Phone (870) 239-8105

7200 S Hazel St
Pine Bluff, AR 71603-7836

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5852TNMDClinical Social Worker
3767WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sark Opl CurrentSince Jan 14, 2023 Accepting new patients
MSK Group, PC Orthopaedic Surgery CurrentSince Oct 1, 2024 Accepting new patients
MSK Group, PC Orthopaedic Surgery CurrentSince Oct 1, 2024 Accepting new patients
Portage Physician Practices Inc CurrentSince Oct 29, 2022 Accepting new patients
Portage Physician Practices Inc Orthopaedic Surgery CurrentSince Oct 29, 2022 Accepting new patients
MSK Group PC Orthopaedic Surgery Current Accepting new patients
Hastings Orthopedic Clinic PC Orthopaedic Surgery Past Accepting new patients
Farmington Clinic Company, LLC Past Accepting new patients
Mineral Area Osteopathic Hospital Inc Past Accepting new patients
Hastings Orthopedic Clinic Past Accepting new patients

Locations

1507 Linwood Dr
Paragould, AR 72450
Phone (870) 239-8105

1507 Linwood Dr
#A
Paragould, AR 72450
Phone (870) 239-8102

7200 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-2900

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

7900 Airways Blvd
Bldg B102
Southaven, MS 38671
Phone (662) 349-9023

7580 Clarington Cv
Southaven, MS 38671
Phone (901) 259-1600

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600

6077 E Primacy Pkwy
Ste 140
Memphis, TN 38119
Phone (901) 725-8347

Interoperability endpoints

  • Direct secure messaging: kurt.piatkowski.1@8233.direct.athenahealth.com

Organizations & group practices 10

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.

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1558335299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 DAWKINS DR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019302",
            "telephone_number": "304-645-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WINSTON DR",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490688526",
            "telephone_number": "269-789-4380",
            "fax_number": "269-789-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIATKOWSKI",
        "first_name": "KURT",
        "middle_name": "RUDIGER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "3767",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101014594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "200Z800130",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KURT",
            "last_name": "PIATKOWSKI",
            "middle_name": "RUDIGER",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.