Active NPI
Pietro A Cavataio, M.D., F.A.A.F.P.
- Family Medicine Physician
- Port Huron, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301062587
- Practice address
- 2603 Electric Ave Ste a
Port Huron, MI 48060-6588 - Phone
- (810) 662-3220
- Fax
- (810) 479-9372
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301062587 | MI | Primary |
Addresses
Primary practice location
2603 Electric Ave Ste a
Port Huron, MI 48060-6588
Mailing address
2603 Electric Ave Ste a
Port Huron, MI 48060-6588
Phone (810) 662-3220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871569798 | Medicaid | MI |
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
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2603 Electric Ave
Suite a
Port Huron, MI 48060-6588
Phone (810) 662-3220
Hospital & facility affiliations
- Insight Hospital and Medical Center Coldwater
- Lake Huron Medical Center
- McLaren Port Huron
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301062587 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Institute of Sports Medicine, LLC | Current | Accepting new patients | |
| Health Management Care, PC | Family Medicine | Current | Accepting new patients |
Locations
2603 Electric Ave
Ste A
Port Huron, MI 48060
Phone (810) 662-3220
Interoperability endpoints
- https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/505041/r4
- pietro.cavataio.1@31740.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Port Huron, MI
- NPI 1578392205
-
- Foot & Ankle Surgery Podiatrist
- Port Huron, MI
- NPI 1336835875
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1982685384
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1306227764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1871569798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 ELECTRIC AVE STE A",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480606588",
"telephone_number": "810-662-3220",
"fax_number": "810-479-9372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 ELECTRIC AVE STE A",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480606588",
"telephone_number": "810-662-3220",
"fax_number": "810-479-9372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVATAIO",
"first_name": "PIETRO",
"middle_name": "A",
"credential": "M.D., F.A.A.F.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301062587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871569798",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.