DR. EDIANA RESTIVO MD
NPI 1033747191
Surgery in Grand Rapids, MI

Q: What is Ediana Restivo's NPI number?

The NPI number for Ediana Restivo is 1033747191. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Q: What is Ediana Restivo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Ediana Restivo was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment

100 MICHIGAN ST NE STE A501, GRAND RAPIDS, MI 49503(616) 391-6243 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2023, May 22, 2022, Apr 1, 2020 (3 updates tracked since 2020).

On this page

About Dr. Ediana Restivo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDIANA RESTIVO MD (NPI 1033747191) is an individual surgery provider in Grand Rapids, Michigan, licensed in Michigan (4351046718) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Michigan State University College Of Human Medicine (2020).

NPPES Registry Identity

NPI1033747191

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. EDIANA RESTIVOCredential: MD

Location Address100 MICHIGAN ST NE STE A501Grand Rapids, MI 49503-2560

Mailing Address100 Michigan St Ne Ste A501Grand Rapids, MI 49503-2560

Phone(616) 391-6243

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2020

Enumeration DateApril 1, 2020

Last NPPES UpdateJune 15, 20233 updates tracked since enumeration

NPPES CertifiedJune 15, 2023

✔ NPI 1033747191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · 4351046718

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

100 MICHIGAN ST NE STE A501, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ediana Restivo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002230380

PECOS Enrollment IDI20250723003875

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160057

Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County

Emergency services Birthing friendly

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA

OwnershipGovernment - Local

CMS Certification Number161356

Location407 S White StMount Pleasant, IA 52641 · Henry County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID MICHAEL KELLER DO

Surgery

100 MICHIGAN ST NE STE A501
GRAND RAPIDS, MI 49503

Kent County (616) 391-6243

MATTHEW WEBB MD

Student in an Organized Health Care Education/Training Program

100 MICHIGAN ST NE STE A501
GRAND RAPIDS, MI 49503

Kent County (616) 391-3245

SOPHIA GARFINKEL MD

Student in an Organized Health Care Education/Training Program

100 MICHIGAN ST NE STE A501
GRAND RAPIDS, MI 49503

Kent County (616) 391-6243

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ediana Restivo's NPI number?

The NPI number for Ediana Restivo is 1033747191. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Ediana Restivo located?

Ediana Restivo practices at 100 Michigan St NE Ste A501, Grand Rapids, MI 49503. The listed phone number is (616) 391-6243.

What is Ediana Restivo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ediana Restivo enrolled in Medicare?

Yes. Ediana Restivo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ediana Restivo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Ediana Restivo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ediana Restivo affiliated with any hospitals?

According to CMS data, Ediana Restivo is affiliated with Southeast Iowa Regional Medical Center and Henry County Health Center.

When was this NPI record last updated?

The NPPES record for Ediana Restivo was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.