NPIMap

Individual provider Active NPI

Timothy A Piontkowski, DO

  • Family Medicine Physician
  • Lapeer, MI
National Provider Identifier
1982706891
Registry record updated Nov 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101010094 Issued in MI
Practice address
944 Baldwin Rd
Suite a
Lapeer, MI 48446-3089
Phone
(810) 245-5562
Fax
(810) 245-7838
NPI assigned
Sep 1, 2006
Last updated
Nov 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101010094 MI Primary

Addresses

Primary practice location

944 Baldwin Rd
Suite a
Lapeer, MI 48446-3089

Mailing address

944 Baldwin Rd
Ste a
Lapeer, MI 48446-3089
Phone (810) 245-5562

Other identifiers 1

IdentifierTypeStateIssuer
4069521MedicaidMI

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
I20050330001097 MI Practitioner - Family Practice 3375599541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesys Pho LLCGroup PAC ID 7618240409, 10 clinicians
Lapeer Medical Associates PCGroup PAC ID 1951357128, 8 clinicians

Practice addresses (Care Compare)

3495 S Ctr Rd
Burton, MI 48519-1455
Phone (810) 424-2201

944 Baldwin Rd
Lapeer, MI 48446-3089
Phone (810) 245-5562

944 Baldwin Rd a
Lapeer, MI 48446-3089

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth12
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101010094MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lapeer Physical Therapy LLC CurrentSince Jan 8, 2024 Accepting new patients
Genesys Pho LLC CurrentSince Apr 3, 2018 Accepting new patients
Lapeer Medical Diagnostics PC Current Accepting new patients
Lapeer Medical Associates PC Family Medicine CurrentSince Jun 22, 2001 Accepting new patients
Lapeer Medical Associates PC CurrentSince Jan 1, 1999 Accepting new patients

Locations

307 E Court St
Flint, MI 48502
Phone (810) 341-7370

3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025

944 Baldwin Rd
Ste A
Lapeer, MI 48446
Phone (810) 245-5562

Interoperability endpoints

  • Direct secure messaging: timothypiontkowski@pmi.allscriptsdirect.net
  • Direct secure messaging: tpiontkowski1144668@direct.hfhs.org

Organizations & group practices 5

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 5

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321747200000",
    "number": "1982706891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 BALDWIN RD",
            "address_2": "STE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463089",
            "telephone_number": "810-245-5562",
            "fax_number": "810-245-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 BALDWIN RD",
            "address_2": "SUITE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463089",
            "telephone_number": "810-245-5562",
            "fax_number": "810-245-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIONTKOWSKI",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4069521",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.