Active NPI
Peter A Ugolini, MD
- Orthopaedic Surgery Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- PU087302
- Practice address
- 2770 E Beltline Ave NE Ste 300
Grand Rapids, MI 49525-8614 - Phone
- (616) 267-8860
- Fax
- (616) 267-8442
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | PU087302 | MI | Primary |
Addresses
Primary practice location
2770 E Beltline Ave NE Ste 300
Grand Rapids, MI 49525-8614
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Phone (616) 267-8860
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pugolini5655@epic00.shdirect.org | ||
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Wayne State University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Physical Rehabilitation Inc
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115
1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000
2249 Wealthy St SE
110 Corewell Health Medical Group West
East Grand Rapids, MI 49506-3055
Phone (616) 391-4600
2750 E Beltline Ave NE
Corewell Health Medical Group West
Grand Rapids, MI 49525-8614
Phone (616) 267-8950
2750 E Beltline Ave NE FL
Grand Rapids, MI 49525-8614
2770 E Beltline Ave NE
Grand Rapids, MI 49525-8614
Phone (616) 267-8860
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808
5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808
615 S Bower St
Greenville, MI 48838-2614
Phone (616) 225-6522
80 68TH St SE
Grand Rapids, MI 49548-6980
80 68TH St SE FL
1 Corewell Health Medical Group West
Grand Rapids, MI 49548-6980
Phone (616) 267-8950
Hospital & facility affiliations
- Spectrum Health
- Spectrum Health United Hospital
- Corewell Health Big Rapids Hospital
- Corewell Health Reed City Hospital
- Corewell Health Gerber Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PU087302 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Orthopaedic Surgery | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Current | Accepting new patients |
Locations
1300 Michigan St NE
Ste 200
Grand Rapids, MI 49503
Phone (616) 774-9515
2770 E Beltline Ave NE
Ste 300
Grand Rapids, MI 49525
Phone (616) 267-8860
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
221 Michigan St NE
Ste 200
Grand Rapids, MI 49503
Phone (616) 391-8635
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
2249 Wealthy St SE
Ste 110
Grand Rapids, MI 49506
Phone (616) 391-4600
4100 Lake Dr SE
Ste 300
Grand Rapids, MI 49546
Phone (616) 267-8860
2770 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 267-8860
705 S Greenville West Dr
Ste 202
Greenville, MI 48838
Phone (616) 267-9823
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
Interoperability endpoints
- pugolini5655@epic00.shdirect.org
- pugolini5655@epic00.corewelldirect.org
Organizations & group practices 3
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.
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
Orthopaedic Surgery
-
- Physical Therapy Clinic/Center
- Grand Rapids, MI
- NPI 1902288863
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Big Rapids Hospital
- General Acute Care Hospital
- Big Rapids, MI
- NPI 1316945991
-
dba Corewell Health Gerber Hospital
- Critical Access Hospital
- Fremont, MI
- NPI 1063836963
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Reed City Hospital
- Critical Access Hospital
- Reed City, MI
- NPI 1437259843
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
-
dba Corewell Health Greenville Hospital
- General Acute Care Hospital
- Greenville, MI
- NPI 1457304495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1821103193",
"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": "616-267-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 E BELTLINE AVE NE STE 300",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495258614",
"telephone_number": "616-267-8860",
"fax_number": "616-267-8442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UGOLINI",
"first_name": "PETER",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "PU087302",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pugolini5655@epic00.shdirect.org",
"affiliation": "N",
"address_1": "4100 Lake Dr SE",
"address_2": "Suite 300",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495468292",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "4100 Lake Dr SE",
"address_2": "Suite 300",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495468292",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.