Active NPI
Peter S Vasiu, DO
- Orthopaedic Surgery Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 383468853
- Practice address
- 5070 Cascade Rd SE
Suite 202
Grand Rapids, MI 49546-8422 - Phone
- (616) 281-7000
- Fax
- (616) 281-7002
- NPI assigned
- Nov 10, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 383468853 | MI | Primary |
Addresses
Primary practice location
5070 Cascade Rd SE
Suite 202
Grand Rapids, MI 49546-8422
Mailing address
5070 Cascade Rd SE
Suite 202
Grand Rapids, MI 49546-8422
Phone (616) 281-7000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4521418 | Medicaid | MI | |
| 383468853 | Other | MI | TAX ID |
| 2054102165 | Other | MI | BLUE CROSS BLUE SHIELD |
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
- Michigan State University College of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5070 Cascade Rd SE
Suite 202
Grand Rapids, MI 49546-8420
Phone (616) 281-7000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 56 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 108 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter S Vasiu DO PC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
20095 Gilbert Rd
Ste B
Big Rapids, MI 49307
Phone (231) 408-3208
5070 Cascade Rd SE
Ste 202
Grand Rapids, MI 49546
Phone (616) 281-7000
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Kentwood, MI
- NPI 1184898454
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396569600000",
"number": "1881675429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5070 CASCADE RD SE",
"address_2": "SUITE 202",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468422",
"telephone_number": "616-281-7000",
"fax_number": "616-281-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5070 CASCADE RD SE",
"address_2": "SUITE 202",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468422",
"telephone_number": "616-281-7000",
"fax_number": "616-281-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASIU",
"first_name": "PETER",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "383468853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4521418",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "383468853",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2054102165",
"state": "MI"
}
],
"endpoints": [],
"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 Apr 4, 2014; 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.