Individual provider Active NPI

Kristi Huisinga Vito, M.D.

  • Pediatrics Physician
  • Grand Rapids, MI
National Provider Identifier
1770960098
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301107105 Issued in MI
Practice address
100 Michigan St NE # Mc169
Grand Rapids, MI 49503-2560
Phone
(616) 267-0118
NPI assigned
May 6, 2015
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301107105 MI Primary

Addresses

Primary practice location

100 Michigan St NE # Mc169
Grand Rapids, MI 49503-2560

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

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
I20230110002970 MI Practitioner - Pediatric Medicine 6608182100 Reassigns benefits to 10 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health United CurrentSince Jun 1, 2024 Accepting new patients
Newaygo County General Hospital Association CurrentSince Jun 1, 2024 Accepting new patients
Memorial Medical Center of West Michigan Pediatrics CurrentSince Jun 1, 2024 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Feb 20, 2023 Accepting new patients
McLaren Greater Lansing Current Accepting new patients
Mecosta County Medical Center CurrentSince Jun 1, 2024 Accepting new patients
McLaren Northern Michigan CurrentSince Jul 25, 2024 Accepting new patients
Mecosta County Medical Center Pediatrics CurrentSince Jun 1, 2024 Accepting new patients
Mecosta County Medical Center Current Accepting new patients
Spectrum Health United CurrentSince Jun 1, 2024 Accepting new patients
Pennock Hospital CurrentSince Jun 1, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Jun 26, 2024 Accepting new patients
McLaren Greater Lansing Pediatrics CurrentSince Jul 27, 2025 Accepting new patients
Lakeland Medical Practices CurrentSince Jun 26, 2024 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Feb 20, 2023 Accepting new patients
Newaygo County General Hospital Association CurrentSince Jun 1, 2024 Accepting new patients
Pennock Hospital CurrentSince Jun 1, 2024 Accepting new patients
McLaren Northern Michigan CurrentSince Jul 25, 2024 Accepting new patients
McLaren Greater Lansing CurrentSince Jul 27, 2025 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Jun 1, 2024 Accepting new patients
McLaren Greater Lansing Past Accepting new patients
Spectrum Health Hospitals Past Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

100 Michigan St NE
#169
Grand Rapids, MI 49503
Phone (616) 267-0118

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

2727 S Pennsylvania Ave
Lansing, MI 48910
Phone (517) 975-3750

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

2111 12 Mile Rd NW
Sparta, MI 49345
Phone (616) 391-8470

Interoperability endpoints

  • Direct secure messaging: kvito1027407@epic00.corewelldirect.org

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1770960098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC169",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-267-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITO",
        "first_name": "KRISTI",
        "middle_name": "HUISINGA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301107105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.