Individual provider Active NPI

Gregory Gerhard Pellizzon, M.D.

  • Cardiovascular Disease Physician
  • Saginaw, MI
National Provider Identifier
1932190345
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301070190 Issued in MI
Practice address
1015 S Washington Ave
Saginaw, MI 48601-2556
Phone
(989) 754-3000
Fax
(989) 754-3002
NPI assigned
Nov 3, 2005
Last updated
May 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301070190 MI Primary
Interventional Cardiology Physician 207RI0011X 4301070190 MI

Addresses

Primary practice location

1015 S Washington Ave
Saginaw, MI 48601-2556

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NM, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040721000335 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7719967850 Reassigns benefits to 2 organizations
I20220111002577 NM Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7719967850 Reassigns benefits to 1 organization
I20230804002585 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7719967850 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians
Virginia Cardiovascular Consultants PCGroup PAC ID 5698688323, shared by 2 NPIs, 3 clinicians

Practice addresses (Care Compare)

1015 S Washington Ave
Saginaw, MI 48601-2556
Phone (989) 753-5300

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Phone (540) 498-4000

4604 Spotsylvania Pkwy
Suite 220
Fredericksburg, VA 22408-7763
Phone (540) 361-2922

4604 Spotsylvania Pkwy
Suite 310
Fredericksburg, VA 22408-7766
Phone (540) 361-2922

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301070190MIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Aug 1, 2013 Accepting new patients
Otero County Hospital Association CurrentSince Jan 1, 2022 Accepting new patients
Spotsylvania Medical Center Inc Current Accepting new patients
Advantage Health/Saint Mary's Medical Group Current Accepting new patients
Virginia Cardiovascular Consultants PC CurrentSince Jul 26, 2023 Accepting new patients
Virginia Cardiovascular Consultants PC Cardiovascular Disease CurrentSince Jul 26, 2023 Accepting new patients
Otero County Hospital Association CurrentSince Jan 1, 2022 Accepting new patients
Spotsylvania Medical Center Inc. Cardiovascular Disease CurrentSince Dec 25, 2023 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Aug 1, 2013 Accepting new patients
West Michigan Heart Cardiovascular Disease Past Accepting new patients
Saint Mary's Health Services Past Accepting new patients
Trinity Health - Michigan Past Accepting new patients
Computer Health Services PC Cardiovascular Disease PastSince Mar 1, 2000 Accepting new patients
Mary Washington Hospital Inc. Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

1000 East Paris Ave SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 685-3450

1471 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 685-3414

245 State St SE
Ste 1A
Grand Rapids, MI 49503

260 Jefferson Ave SE
Ste 206
Grand Rapids, MI 49503
Phone (616) 752-5432

310 Lafayette Ave SE
Ste 300
Grand Rapids, MI 49503
Phone (616) 685-3450

1900 44th St SE
Kentwood, MI 49508
Phone (616) 685-8500

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

4604 Spotsylvania Pkwy
Ste 220
Fredericksburg, VA 22408
Phone (540) 361-2922

4604 Spotsylvania Pkwy
Ste 310
Fredericksburg, VA 22408
Phone (540) 361-2922

Interoperability endpoints

  • Direct secure messaging: gregory.pellizzon.p1@direct.vcc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 6

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1932190345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S WASHINGTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012556",
            "telephone_number": "989-754-3000",
            "fax_number": "989-754-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLIZZON",
        "first_name": "GREGORY",
        "middle_name": "GERHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301070190",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301070190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.