Individual provider Active NPI

Pietro A Cavataio, M.D., F.A.A.F.P.

  • Family Medicine Physician
  • Port Huron, MI
National Provider Identifier
1871569798
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301062587 Issued in MI
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

Updated by the provider on Jun 17, 2025

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 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

IdentifierTypeStateIssuer
1871569798MedicaidMI

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
I20100115000890 MI Practitioner - Family Practice 3577605377 Reassigns benefits to 1 organization

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
Health Management Care PCGroup PAC ID 4880121045, 2 clinicians

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 Hospital, Coldwater, MI, CCN 230022
  • Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031
  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301062587MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Institute of Sports Medicine, LLC Current Accepting new patients
Health Management Care, PC Family Medicine CurrentSince Nov 6, 2024 Accepting new patients

Locations

2603 Electric Ave
Ste A
Port Huron, MI 48060
Phone (810) 662-3220

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/505041/r4
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.