Individual provider Active NPI

John Pietila, M.D.

  • Diagnostic Radiology Physician
  • Marquette, MI
National Provider Identifier
1841450772
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301092088 Issued in MI
Practice address
710 Chippewa SQ
Suite 101
Marquette, MI 49855-4821
Phone
(906) 225-0122
NPI assigned
Jun 13, 2008
Last updated
Jun 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301092088 MI Primary

Addresses

Primary practice location

710 Chippewa SQ
Suite 101
Marquette, MI 49855-4821

Mailing address

710 Chippewa SQ
Suite 101
Marquette, MI 49855-4821
Phone (906) 225-0122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131008001305 MI Practitioner - Diagnostic Radiology 9133353014 Reassigns benefits to 6 organizations
I20210215000943 WI Practitioner - Diagnostic Radiology 9133353014 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Langlade Hospital - Hotel Dieu of St Joseph of Antigo WisconsinGroup PAC ID 1557271202, shared by 7 NPIs, 86 clinicians
Aspirus KeweenawGroup PAC ID 8123912011, shared by 7 NPIs, 116 clinicians

Practice addresses (Care Compare)

112 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2331

1400 W Ice Lake Rd
Aspirus Iron River Hospital
Iron River, MI 49935-9526
Phone (906) 265-6121

205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-3100

N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10565 Grandview LN Aspirus Ironwood
Aspirus Palliative Medicine Michi
Ironwood, MI 49938-9622
Phone (715) 843-1067

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
84.08
Promoting interoperability
100
Improvement activities
40
Cost
64.31

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as group
Quality
92.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as group
Quality
89.76
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301092088MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Keweenaw CurrentSince Dec 3, 2021 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince May 1, 2025 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Aspirus Keweenaw CurrentSince Dec 3, 2021 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince May 1, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin CurrentSince Feb 1, 2021 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aspirus Iron River Hospital & Clinics IncIron River, MI, CCN 231318 Hospital Corporate Director Oct 1, 2022
Aspirus Ironwood HospitalIronwood, MI, CCN 23Z333 Hospital Corporate Director Oct 1, 2022
Aspirus Ironwood HospitalIronwood, MI, CCN 231333 Hospital Corporate Director Oct 1, 2022
Aspirus Iron River Hospital & Clinics IncIron River, MI, CCN 23Z318 Hospital Corporate Director Oct 1, 2022
Aspirus Keweenaw HospitalLaurium, MI, CCN 231319 Hospital Corporate Director Oct 1, 2022
Aspirus Keweenaw HospitalLarium, MI, CCN 23Z319 Hospital Corporate Director Oct 1, 2022
Aspirus Keweenaw Lake Linden ClinicLake Linden, MI, CCN 238552 Rural health clinic Corporate Director Oct 1, 2022
Aspirus Keweenaw Laurium ClinicLaurium, MI, CCN 238551 Rural health clinic Corporate Director Oct 1, 2022
Aspirus Houghton ClinicHoughton, MI, CCN 238617 Rural health clinic Corporate Director Oct 1, 2022
Aspirus Ironwood ClinicIronwood, MI, CCN 238661 Rural health clinic Corporate Director Oct 1, 2022
Aspirus Hurley ClinicHurley, WI, CCN 528560 Rural health clinic Corporate Director Oct 1, 2022
Aspirus Crystal Falls ClinicCrystal Falls, MI, CCN 238680 Rural health clinic Corporate Director Oct 1, 2022
Aspirus Iron River ClinicIron River, MI, CCN 238712 Rural health clinic Corporate Director Oct 1, 2022
Aspirus Ontonagon ClinicOntonagon, MI, CCN 238598 Rural health clinic Corporate Director Oct 1, 2022

Owned or controlled facilities with NPI records 21

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 21

Organizations & group practices 14

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 14

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1841450772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CHIPPEWA SQ",
            "address_2": "SUITE 101",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554821",
            "telephone_number": "906-225-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CHIPPEWA SQ",
            "address_2": "SUITE 101",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554821",
            "telephone_number": "906-225-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETILA",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301092088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.