Active NPI
Kurt Rudiger Piatkowski, DO
- Orthopaedic Surgery Physician
- Marshall, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5101014594
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200Z800130 | Other | MI | BCBS GROUP |
Other names 1
- Kurt Rudiger Piatkowski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, AR, MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5852 | TN | MD | Clinical Social Worker |
| 3767 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sark Opl | Current | Accepting new patients | |
| MSK Group, PC | Orthopaedic Surgery | Current | Accepting new patients |
| MSK Group, PC | Orthopaedic Surgery | Current | Accepting new patients |
| Portage Physician Practices Inc | Current | Accepting new patients | |
| Portage Physician Practices Inc | Orthopaedic Surgery | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Pine Bluff, AR
- NPI 1558893776
-
- Internal Medicine Physician
- Hancock, MI
- NPI 1225461684
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Southaven, MS
- NPI 1912303447
-
- Orthopaedic Surgery Physician
- Memphis, TN
- NPI 1376541409
-
- Rural Health Clinic/Center
- Calumet, MI
- NPI 1164106910
-
- Durable Medical Equipment & Medical Supplies
- Hastings, MI
- NPI 1811197593
-
- Orthopaedic Surgery Physician
- Hastings, MI
- NPI 1346373065
-
- Rural Health Clinic/Center
- Farmington, MO
- NPI 1316223944
-
- Nurse Practitioner
- Farmington, MO
- NPI 1124220637
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paragould, AR
- NPI 1437222312
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.