Individual provider Active NPI

Peter S Vasiu, DO

  • Orthopaedic Surgery Physician
  • Grand Rapids, MI
National Provider Identifier
1881675429
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
383468853 Issued in MI
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

Updated by the provider on Apr 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4521418MedicaidMI
383468853OtherMITAX ID
2054102165OtherMIBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080905000563 MI Practitioner - Orthopedic Surgery 2769558204 Reassigns benefits to 1 organization

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

ProcedureNumber 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

OrganizationSpecialtyStatusNew patients
Peter S Vasiu DO PC Orthopaedic Surgery CurrentSince Oct 18, 1999 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.