Individual provider Active NPI

Tamayi Bwititi, MD

  • Family Medicine Physician
  • Paw Paw, MI
National Provider Identifier
1558655464
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301106138 Issued in 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
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140708000098 MI Practitioner - Family Practice 2769607753 Reassigns benefits to 3 organizations

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
Bronson Battle Creek HospitalGroup PAC ID 0547173478, 187 clinicians
Bronson Lakeview HospitalGroup PAC ID 9032008495, 72 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as group
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

LicenseStateTypeSpecialty
4301106138MIMDFamily Medicine Physician
MT199161PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital Family Medicine CurrentSince Nov 1, 2017 Accepting new patients
Bronson Lakeview Hospital Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
Bronson Methodist Hospital CurrentSince Dec 1, 2015 Accepting new patients
Patholgy Services of Kalamazoo, PC Current Accepting new patients
Bronson Battle Creek Hospital CurrentSince Nov 1, 2017 Accepting new patients
Bronson Lakeview Hospital CurrentSince Aug 1, 2014 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.