Individual provider Active NPI

Richard F Giannotti Jr.

  • Sports Medicine (Family Medicine) Physician
  • Midland, MI
National Provider Identifier
1902398514
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
5101025748 Issued in MI
Practice address
4401 Campus Ridge Dr
Midland, MI 48640-6112
Phone
(989) 837-9350
NPI assigned
May 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101023989 MI
Sports Medicine (Family Medicine) Physician 207QS0010X 5101025748 MI Primary

Addresses

Primary practice location

4401 Campus Ridge Dr
Midland, MI 48640-6112

Mailing address

1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone (231) 935-8000

Other practice location 1

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7476

Other identifiers 1

IdentifierTypeStateIssuer
5101023989OtherMILICENSE

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
I20220623001828 MI Practitioner - Family Practice 1153700042 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Marian University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical GroupGroup PAC ID 4981501939, 174 clinicians
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians
Mymichigan Medical Center AlmaGroup PAC ID 3375451404, 140 clinicians

Practice addresses (Care Compare)

100 Rose Ctr
Mount Pleasant, MI 48859-0001
Phone (989) 463-2333

4401 N Campus RDG Dr
Midland, MI 48640-6112
Phone (989) 837-9200

4851 E Pickard St
Mt Pleasant, MI 48858-2029
Phone (989) 775-1610

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
  • Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030
  • Mymichigan Medical Center Gladwin Hospital, Gladwin, MI, CCN 231325
  • Mymichigan Medical Center West Branch Hospital, West Branch, MI, CCN 230095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101023989MIMDFamily Medicine Physician
5101025748MIMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Clare CurrentSince Sep 1, 2023 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jun 21, 2022 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jun 21, 2022 Accepting new patients
Mymichigan Medical Group CurrentSince Jun 21, 2022 Accepting new patients
Mymichigan Medical Center Alma Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Mymichigan Medical Center Midland Family Medicine CurrentSince Jun 21, 2022 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Sep 1, 2023 Accepting new patients

Locations

3051 Kiesel Rd
Bay City, MI 48706
Phone (989) 778-2888

700 W 5th St
Clare, MI 48617
Phone (989) 386-9911

602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

121 N Pine River St
Ithaca, MI 48847
Phone (989) 875-0662

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4401 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9280

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

100 Rose Ctr
Mount Pleasant, MI 48859
Phone (989) 774-3041

4851 E Pickard St
Mt Pleasant, MI 48858
Phone (989) 772-3009

Interoperability endpoints

  • Direct secure messaging: rgiannotti126968@mymichiganhealth.midirect.net

Organizations & group practices 8

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 8

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": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1902398514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MEDICAL CAMPUS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847823",
            "telephone_number": "231-935-8000",
            "fax_number": "231-935-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 CAMPUS RIDGE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406112",
            "telephone_number": "989-837-9350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Hobart St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496012331",
            "country_code": "US",
            "telephone_number": "231-876-7476",
            "fax_number": "231-876-6121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIANNOTTI",
        "first_name": "RICHARD",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101023989",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "5101025748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5101023989",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.