Individual provider Active NPI

Paul James Spilotro, MD

  • Pediatrics Physician
  • Zeeland, MI
National Provider Identifier
1982823159
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301085950 Issued in MI
Practice address
8333 Felch St
Suite 200
Zeeland, MI 49464-2608
Phone
(616) 772-7530
Fax
(616) 748-3654
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301085950 MI Primary

Addresses

Primary practice location

8333 Felch St
Suite 200
Zeeland, MI 49464-2608

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560

Other practice location 1

825 N Center Ave
Gaylord, MI 49735-1592
Phone (989) 731-7996

Other practice location 2

1100 E Michigan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

Other practice location 3

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

Other practice location 4

1250 E Michigan Ave Ste C
Grayling, MI 49738-7074
Phone (989) 348-0550

Other practice location 5

829 N Center Ave Ste 130
Gaylord, MI 49735-1684
Phone (989) 731-7930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130924000933 MI Practitioner - Pediatric Medicine 9133363567 Reassigns benefits to 12 organizations
I20230519000848 WY Practitioner - Pediatric Medicine 9133363567 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301085950MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Cadillac CurrentSince Jan 24, 2025 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Feb 26, 2023 Accepting new patients
Lakeland Medical Practices CurrentSince Jan 2, 2023 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Feb 26, 2023 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Feb 26, 2023 Accepting new patients
McLaren Northern Michigan CurrentSince Jun 13, 2023 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince May 12, 2024 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince May 12, 2024 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Feb 26, 2023 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince May 11, 2023 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Sep 7, 2022 Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Munson Healthcare Cadillac Current Accepting new patients
Munson Healthcare Grayling CurrentSince May 12, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Jan 2, 2023 Accepting new patients
McLaren Northern Michigan CurrentSince Jun 13, 2023 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Jun 15, 2022 Accepting new patients
Mymichigan Medical Group Pediatrics CurrentSince Jun 15, 2022 Accepting new patients
Munson Healthcare Cadillac CurrentSince Jan 24, 2025 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Dec 6, 2022 Accepting new patients
Mymichigan Medical Center Alma Current Accepting new patients
Mymichigan Medical Center Midland CurrentSince Sep 7, 2022 Accepting new patients
McLaren Greater Lansing CurrentSince Jan 1, 2023 Accepting new patients
McLaren Greater Lansing Pediatrics CurrentSince Jan 1, 2023 Accepting new patients
Munson Healthcare Grayling CurrentSince May 12, 2024 Accepting new patients
McLaren Greater Lansing Current Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Ascension Borgess Hospital Past Accepting new patients
McLaren Northern Michigan Past Accepting new patients
Holland Community Hospital Past Accepting new patients
Pediatrix Medical Group of Michigan PC Past Accepting new patients
Kona Hospital Past Accepting new patients

Locations (25 of 32)

3781 Momentum Pl
Chicago, IL 60689

3782 Momentum Pl
Chicago, IL 60689

160 E Warwick Dr
Alma, MI 48801
Phone (855) 289-5353

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

829 N Center Ave
Ste 130
Gaylord, MI 49735
Phone (989) 731-7930

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

1250 E Michigan Ave
Ste C
Grayling, MI 49738
Phone (989) 348-0550

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

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

2727 S Pennsylvania Ave
Lansing, MI 48910
Phone (517) 975-3750

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

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

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

4851 E Pickard St
Ste 1760
Mt Pleasant, MI 48858
Phone (989) 775-1610

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

Interoperability endpoints

  • Direct secure messaging: pspilotro111413@mymichiganhealth.midirect.net

Organizations & group practices 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1982823159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 FELCH ST",
            "address_2": "SUITE 200",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494642608",
            "telephone_number": "616-772-7530",
            "fax_number": "616-748-3654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 N Center Ave",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351592",
            "country_code": "US",
            "telephone_number": "989-731-7996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497381312",
            "country_code": "US",
            "telephone_number": "989-348-5461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Hobart St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496012331",
            "country_code": "US",
            "telephone_number": "231-876-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Michigan Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497387074",
            "country_code": "US",
            "telephone_number": "989-348-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 N Center Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351684",
            "country_code": "US",
            "telephone_number": "989-731-7930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPILOTRO",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301085950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

Verify at the official NPI Registry.