Active NPI
Tamayi Bwititi, MD
- Family Medicine Physician
- Paw Paw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301106138
- Practice address
- 451 Health Pkwy Ste G
Paw Paw, MI 49079 - Phone
- (269) 668-3348
- Fax
- (269) 668-7702
- NPI assigned
- Jun 8, 2011
- Last updated
- Aug 7, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT199161 | PA | |
| Family Medicine Physician | 207Q00000X | 4301106138 | MI | Primary |
Addresses
Primary practice location
451 Health Pkwy Ste G
Paw Paw, MI 49079
Mailing address
451 Health Pkwy Ste G
Paw Paw, MI 49079-8242
Phone (269) 668-3348
Other practice location 1
52375 N Main St
Mattawan, MI 49071-9332
Phone (269) 668-3348
Other practice location 2
52375 N Main St
Mattawan, MI 49071-9332
Phone (269) 668-3348
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2845 Capital Ave SW
302 Bronson Internal Medicine Battle Creek
Battle Creek, MI 49015-4187
Phone (269) 979-6333
451 Health Pkwy
Paw Paw, MI 49079-8242
451 Health Pkwy E
Bronson Lakeview Pediatrics
Paw Paw, MI 49079-8242
Phone (269) 655-3090
Hospital & facility affiliations
- Bronson at Home Healthcare Services
- Bronson Lakeview Hospital
- Bronson Methodist Hospital
- Bronson Battle Creek Hospital
- Bronson South Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.91 of 100
- Quality
- 83.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301106138 | MI | MD | Family Medicine Physician |
| MT199161 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Battle Creek Hospital | Family Medicine | Current | Accepting new patients |
| Bronson Lakeview Hospital | Family Medicine | Current | Accepting new patients |
| Bronson Methodist Hospital | Current | Accepting new patients | |
| Patholgy Services of Kalamazoo, PC | Current | Accepting new patients | |
| Bronson Battle Creek Hospital | Current | Accepting new patients | |
| Bronson Lakeview Hospital | Current | Accepting new patients | |
| Western Michigan University School of Medicine | Past | Accepting new patients |
Locations
2845 Capital Ave SW
Ste 302
Battle Creek, MI 49015
Phone (269) 324-0799
300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862
363 Fremont St
Ste 305
Battle Creek, MI 49017
Phone (269) 245-8302
5629 Stadium Dr
Ste B
Kalamazoo, MI 49009
Phone (269) 544-3270
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
52375 N Main St
Mattawan, MI 49071
Phone (269) 668-3348
451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725
451 Health Pkwy
Ste G
Paw Paw, MI 49079
Phone (269) 668-3348
Interoperability endpoints
- tbwititi39302@direct.bronsonhg.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bronson Medical Group
- Internal Medicine Physician
- Battle Creek, MI
- NPI 1093119638
Family Medicine
-
dba Bronson Medical Group
- Internal Medicine Physician
- Paw Paw, MI
- NPI 1235131137
Family Medicine
-
dba Bronson Medical Group
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
-
dba Bronson Battle Creek Outpatient Pharmacy
- Community/Retail Pharmacy
- Battle Creek, MI
- NPI 1740351907
-
dba Bronson LakeView Family Care-Blue Star
- Rural Health Clinic/Center
- South Haven, MI
- NPI 1801538871
-
- Anatomic Pathology & Clinical Pathology Physician
- Kalamazoo, MI
- NPI 1548243595
-
dba WMed Health
- Multi-Specialty Clinic/Center
- Kalamazoo, MI
- NPI 1316212343
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Battle Creek, MI
- NPI 1376524090
-
- General Acute Care Hospital
- Battle Creek, MI
- NPI 1083644579
-
- Critical Access Hospital
- Paw Paw, MI
- NPI 1962508259
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
- General Acute Care Hospital
- South Haven, MI
- NPI 1346275856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1558655464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 HEALTH PKWY STE G",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490798242",
"telephone_number": "269-668-3348",
"fax_number": "269-668-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 HEALTH PKWY STE G",
"city": "PAW PAW",
"state": "MI",
"postal_code": "49079",
"telephone_number": "269-668-3348",
"fax_number": "269-668-7702"
}
],
"practiceLocations": [
{
"address_1": "52375 N Main St",
"address_purpose": "LOCATION",
"city": "Mattawan",
"state": "MI",
"postal_code": "490719332",
"country_code": "US",
"telephone_number": "269-668-3348",
"fax_number": "269-668-7702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "52375 N Main St",
"address_purpose": "LOCATION",
"city": "Mattawan",
"state": "MI",
"postal_code": "490719332",
"country_code": "US",
"telephone_number": "269-668-3348",
"fax_number": "269-668-7702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BWITITI",
"first_name": "TAMAYI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-08",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT199161",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301106138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paw Paw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.