Tamayi Bwititi, MD
Individual provider Active NPI Family Medicine Physician · Paw Paw, MI
NPI 1558655464 · NPPES record last updated Aug 7, 2019
Key facts
- NPI
- 1558655464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301106138 (MI)
- Practice address
- 451 Health Pkwy Ste G
Paw Paw, MI 49079 - Phone
- (269) 668-3348
- Fax
- (269) 668-7702
- NPI assigned
- Jun 8, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bronson Battle Creek Hospital
Bronson Lakeview Hospital
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140708000098 | MI | Practitioner - Family Practice | 2769607753 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 |
|---|---|---|---|
| Patholgy Services of Kalamazoo, PC | Current | Accepting new patients | |
| Bronson Lakeview Hospital | Current |
Accepting new patients | |
| Bronson Lakeview Hospital | Family Medicine | Current |
Accepting new patients |
| Bronson Battle Creek Hospital | Current |
Accepting new patients | |
| Bronson Battle Creek Hospital | Family Medicine | Current |
Accepting new patients |
| Bronson Methodist Hospital | Current |
Accepting new patients | |
| Western Michigan University School of Medicine | Past | Accepting new patients |
Locations
300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862
2845 Capital Ave SW
Ste 302
Battle Creek, MI 49015
Phone (269) 324-0799
363 Fremont St
Ste 305
Battle Creek, MI 49017
Phone (269) 245-8302
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
5629 Stadium Dr
Ste B
Kalamazoo, MI 49009
Phone (269) 544-3270
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT199161 | PA | |
| Family Medicine Physician | 207Q00000X | 4301106138 | MI | Yes |
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
Other providers in Paw Paw, MI
- Angela Therese Burd
- Kayla Jane Burd
- Madelyn Burnham
- Sierra Lauren Busby
- Gerald M Bush
- Vincent R Cabras
- Peter A Caroselli
- James F Carow
- Cesar Carrizales
- Kathleen Najah Carter
All providers in Paw Paw, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.