Eric Pittelkow, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

4301509078 Issued in MI

Practice address

1200 E Michigan Ave
Lansing, MI 48912

Phone

(517) 364-5388

NPI assigned

May 4, 2016

Last updated

Aug 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Plastic and Reconstructive Surgery

Education

Saint Louis University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, shared by 20 NPIs, 698 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Edward W Sparrow Hospital Association

  dba Sparrow Medical Group General Surgery

  • Surgery Physician
  • Lansing, MI
  • NPI 1457744666
  Medicare reassignment NPD
• Edward W. Sparrow Hospital Association

  dba Sparrow Behavioral Health - Social Workers

  • Clinical Social Worker
  • Lansing, MI
  • NPI 1033165790
  Medicare reassignment NPD
• Metropolitan Hospital

  dba Metro Health Hospital

  • Internal Medicine Physician
  • Wyoming, MI
  • NPI 1811937519
  Medicare reassignment NPD
• Sparrow Clinton Hospital

  dba University of Michigan Health-Sparrow Clinton

  • Critical Access Hospital
  • Saint Johns, MI
  • NPI 1093809824
  Medicare reassignment NPD
• Sparrow Clinton Hospital

  dba SMG St Johns

  • Multi-Specialty Clinic/Center
  • Saint Johns, MI
  • NPI 1306893078
  Medicare reassignment NPD
• Edward W Sparrow Hospital Association

  dba Sparrow Wound & Hyperbaric Clinic

  • Internal Medicine Physician
  • Lansing, MI
  • NPI 1093150781
  NPD
• Edward W Sparrow Hospital Association

  dba University of Michigan Health-Sparrow

  • Adult Health Nurse Practitioner
  • Lansing, MI
  • NPI 1265220438
  NPD
• Edward W. Sparrow Hospital Association

  dba University of Michigan Health-Sparrow Carson Pharmacy Plus

  • Community/Retail Pharmacy
  • Carson City, MI
  • NPI 1093719783
  NPD (past)

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

• Edward W Sparrow Hospital Association

  dba University of Michigan Health-Sparrow Lansing

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1073588711
  Care Compare affiliation
• Edward W Sparrow Hospital Association

  dba Thoracic Cardiovascular Institute

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1760710719
  Care Compare affiliation

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1982050340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-364-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48912",
            "telephone_number": "517-364-5388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N 1900 E Rm 3B400",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320002",
            "country_code": "US",
            "telephone_number": "801-581-8419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 Barnhill Drive Emerson Hall, Suite 232",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46202",
            "country_code": "US",
            "telephone_number": "317-278-0394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTELKOW",
        "first_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "12706106-1205",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301509078",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IN",
            "license": "11018869A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Susan Pirochta
• Anastasia Grace Pirrami
• Ryan Pishalski, LLMSW
• Seyedamirhossein Pishva
• Stephen Edward Pittel, DDS
• Charina Pitts
• Zaria Pitts
• Gabriella Mercedez-D Pizana
• Eileen Marie Pizanis, NP
• Claire Plagens

• Plastic Surgery Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.

Verify at the official NPI Registry.