Alyssa Fedorko, MD/PHD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301512074 Issued in MI

Practice address

707 S Greenville West Dr
Greenville, MI 48838-3514

Phone

(616) 754-3001

NPI assigned

Apr 13, 2020

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Physical Rehabilitation IncGroup PAC ID 6901717768, 352 clinicians

Center for Physical Rehabilitation and Therapy LPGroup PAC ID 0941513303, 365 clinicians

Spectrum Health UnitedGroup PAC ID 6305836487, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035
• Corewell Health Big Rapids Hospital Hospital, Big Rapids, MI, CCN 230093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: afedorko2657888@epic00.corewelldirect.org

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.

• Spectrum Health United

  dba Corewell Health Greenville Hospital

  • General Acute Care Hospital
  • Greenville, MI
  • NPI 1457304495
  Medicare reassignment Care Compare group NPD
• Center for Physical Rehabilitation and Therapy LP

  • Physical Therapy Clinic/Center
  • Grand Rapids, MI
  • NPI 1902288863
  Care Compare group
• Spectrum Health United

  dba Corewell Health Greenville Hospital Professional

  • Family Medicine Physician
  • Greenville, MI
  • NPI 1063781342
  NPD
• Spectrum Health United

  • Rural Health Clinic/Center
  • Ionia, MI
  • NPI 1174498893
  NPD (past)
• University of Rochester Physical Medicine and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Rochester, NY
  • NPI 1649434648
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mecosta County Medical Center

  dba Corewell Health Big Rapids Hospital

  • General Acute Care Hospital
  • Big Rapids, MI
  • NPI 1316945991
  Care Compare affiliation
• Spectrum Health United

  dba Corewell Health Greenville Hospital

  • General Acute Care Hospital
  • Greenville, MI
  • NPI 1457304495
  Care Compare affiliation

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1811516511",
    "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": "707 S GREENVILLE WEST DR",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488383514",
            "telephone_number": "616-754-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORKO",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "MD/PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301512074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmin Espinosa
• Amanda Kinney Estill, LPC
• Leah Anne Eytcheson, CNP
• Kirkwood E Faber, DDS
• William A. Fabricius, M.D.
• Ashley Nicole Feehan, DO
• Evelyn Rose Fehrlen
• Amanda Veenhuis Felber, PA-C
• Carmon Therese Ferman, LMSW
• First Choice Pharmacy

• Physical Medicine & Rehabilitation Physician in Greenville, MI
• Providers in Greenville, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.

Verify at the official NPI Registry.