Individual provider Active NPI

Anita M Asadorian, D.O.

  • Family Medicine Physician
  • Caledonia, MI
National Provider Identifier
1811925522
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101016321 Issued in MI
Practice address
9090 S Rodgers CT SE
Caledonia, MI 49316-8052
Phone
(616) 891-0422
Fax
(616) 891-0416
NPI assigned
Jun 29, 2006
Last updated
Aug 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101016321 MI Primary

Addresses

Primary practice location

9090 S Rodgers CT SE
Caledonia, MI 49316-8052

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790

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
I20090122000341 MI Practitioner - Family Practice 5294899076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hastings Internal Medicine PLCGroup PAC ID 8729970108, 4 clinicians

Practice addresses (Care Compare)

225 S M 37 Hwy
Suite 1
Hastings, MI 49058-9676
Phone (269) 948-0078

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101016321MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hastings Internal Medicine PLC CurrentSince Apr 3, 2018 Accepting new patients

Locations

1005 W Green St
Ste 202
Hastings, MI 49058
Phone (269) 948-0078

225 S M 37 Hwy
#1
Hastings, MI 49058
Phone (269) 948-0078

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBFDAA

Organizations & group practices 1

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 3

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1811925522",
    "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",
            "telephone_number": "616-486-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 S RODGERS CT SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168052",
            "telephone_number": "616-891-0422",
            "fax_number": "616-891-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASADORIAN",
        "first_name": "ANITA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101016321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

Verify at the official NPI Registry.