Individual provider Active NPI

Michael Anthony Fistek, D.O.

  • Internal Medicine Physician
  • Akron, OH
National Provider Identifier
1770872863
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.010996 Issued in OH
Practice address
3593 S Arlington Rd Ste a
Akron, OH 44312-5271
Phone
(330) 899-9070
NPI assigned
Mar 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.010996 OH Primary

Addresses

Primary practice location

3593 S Arlington Rd Ste a
Akron, OH 44312-5271

Mailing address

3515 Massillon Rd
Ste 300
Uniontown, OH 44685-7854
Phone (330) 899-9070

Other identifiers 1

IdentifierTypeStateIssuer
0093580MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20131217001260 OH Practitioner - Internal Medicine 3971741752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Physicians Network IncGroup PAC ID 0648160002, 92 clinicians

Practice addresses (Care Compare)

3043 Sanitarium Rd
Suite 1
Akron, OH 44312-4600
Phone (330) 628-4044

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Physicians Network Inc CurrentSince Jan 1, 2017 Accepting new patients
Pioneer Physicians Network, Inc. Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients

Locations

3043 Sanitarium Rd
Ste 1
Akron, OH 44312
Phone (330) 316-5499

3593 S Arlington Rd
Ste A
Green, OH 44312
Phone (330) 899-9070

3515 Massillon Rd
Ste 300
Green, OH 44685
Phone (234) 271-3353

3300 Greenwich Rd
Unit 8
Norton, OH 44203
Phone (330) 825-7371

65 Community Rd
Ste F
Tallmadge, OH 44278
Phone (330) 633-3680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA
  • Direct secure messaging: michael.fistek@ppn.eclinicaldirectplus.com

Organizations & group practices 2

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 7

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": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1770872863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 MASSILLON RD",
            "address_2": "STE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857854",
            "telephone_number": "330-899-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3593 S ARLINGTON RD STE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125271",
            "telephone_number": "330-899-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISTEK",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-30",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.010996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093580",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.