NPIMap

Individual provider Active NPI

Peter G. Fattal, MD

  • Cardiovascular Disease Physician
  • Saginaw, MI
National Provider Identifier
1962481085
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301063631 Issued in MI
Practice address
1015 S Washington Ave
Saginaw, MI 48601-2556
Phone
(989) 754-3000
Fax
(989) 755-1365
NPI assigned
Jan 17, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301063631 MI Primary

Addresses

Primary practice location

1015 S Washington Ave
Saginaw, MI 48601-2556

Mailing address

1015 S Washington Ave
Saginaw, MI 48601-2556
Phone (989) 754-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peter.fattal.1@11016.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000341 MI Practitioner - Cardiovascular Disease (Cardiology) 4486566916 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of Ny Upstate Medical University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians
Mymichigan Medical Center TawasGroup PAC ID 9638070766, 36 clinicians

Practice addresses (Care Compare)

1015 S Washington Ave
Saginaw, MI 48601-2556

1117 S Van Dyke Rd
Suite 300
Bad Axe, MI 48413-8467
Phone (989) 754-3000

200 Hemlock Rd
Tawas City, MI 48763-2000
Phone (989) 907-7636

295 Maple St
Tawas City, MI 48763-9352

5935 N Huron Rd
Oscoda, MI 48750-9710
Phone (989) 739-1441

5939 N Huron Rd
Mymichigan Family Medicine
Oscoda, MI 48750-9710
Phone (989) 739-1441

800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8000

9900 Birch Run Rd
Birch Run, MI 48415-9609
Phone (989) 799-1350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301063631MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Sep 8, 2025 Accepting new patients
Memorial Hospital Cardiovascular Disease CurrentSince May 29, 2023 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Oct 1, 2011 Accepting new patients
Mymichigan Medical Center Saginaw Cardiovascular Disease CurrentSince Oct 1, 2011 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Sep 8, 2025 Accepting new patients
Memorial Hospital CurrentSince May 29, 2023 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Covenant Medical Center, Inc Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413

9900 Birch Run Rd
Birch Run, MI 48415
Phone (989) 624-1500

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

1 Genesys Pkwy
Ste 3615
Grand Blanc, MI 48439

2660 W Sugnet Rd
Midland, MI 48640
Phone (989) 488-5010

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

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

208 S State St
Oscoda, MI 48750
Phone (989) 739-0200

5939 N Huron Rd
Oscoda, MI 48750
Phone (989) 739-1147

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

295 Maple St
Ste 201
Tawas City, MI 48763
Phone (989) 362-0188

Interoperability endpoints

  • Direct secure messaging: peter.fattal.1@11016.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1962481085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S WASHINGTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012556",
            "telephone_number": "989-754-3000",
            "fax_number": "989-755-1365"
        },
        {
            "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": "989-755-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTAL",
        "first_name": "PETER",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301063631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.fattal.1@11016.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1015 S Washington Ave",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486012556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.