DR. EDIANA RESTIVO MD
NPI 1033747191
Surgery in Grand Rapids, MI
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Ediana Restivo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Burlington, IA 52601
- Reassigned Medicare billing, Iowa enrollment
- 253 clinicians in this Medicare group
Mount Pleasant, IA 52641
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1871177477 (Iowa)
- 142 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, IAHenry County Health Center
Critical Access Hospitals · Mount Pleasant, IAPhysician 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
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.
Which organizations bill Medicare for Ediana Restivo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ediana Restivo reassigns Medicare benefits to 2 organizations: Southeast Iowa Regional Medical Center, Inc. (Burlington, IA) and Henry County Health Center, Inc. (Mount Pleasant, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ediana Restivo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ediana Restivo accept?
Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Medica, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. 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.
# Dr. Ediana Restivo, MD · NPI 1033747191
Surgery physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since April 1, 2020.
## Identity
- **NPI:** 1033747191 (Entity type: Individual)
- **Enumerated:** April 1, 2020
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 4351046718 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MICHIGAN ST NE STE A501, Grand Rapids, MI 49503-2560
- **Phone:** (616) 391-6243
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southeast Iowa Regional Medical Center, Inc. (NPI 1962077230, Burlington, IA); Henry County Health Center, Inc. (NPI 1811571417, Mount Pleasant, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Human Medicine, class of 2020
## Record status
- **NPPES last updated:** June 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1033747191) · Data from the CMS NPPES public registry.