GRAND RAPIDS EAR NOSE AND THROAT PC
NPI 1063639870
Otolaryngology in Wyoming, MI
About Grand Rapids Ear Nose And Throat Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND RAPIDS EAR NOSE AND THROAT PC (NPI 1063639870) is a healthcare organization registered as an otolaryngology in Wyoming, Michigan and active in the NPI registry since April 2007. The organization lists Thomas W Pfennig, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grand Rapids Ear Nose And Throat Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Grand Rapids Ear Nose And Throat PC, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (15)
Jupiter, FL 33458
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Thomas W Pfennig Do's NPI number?
The NPI number for Thomas W Pfennig Do is 1063639870. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is doing business as Grand Rapids Ear Nose And Throat PC.
Where is Thomas W Pfennig Do located?
Thomas W Pfennig Do is located at 1555 - 44th Street SW, Wyoming, MI 49509. The listed phone number is (616) 249-8000.
What is Thomas W Pfennig Do's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Thomas W Pfennig Do enrolled in Medicare?
Yes. Thomas W Pfennig Do is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Thomas W Pfennig Do?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Thomas W Pfennig Do. A 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 the clinician's services. The largest specialties are Otolaryngology (10) and Qualified Audiologist (5). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Thomas W Pfennig Do accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Thomas W Pfennig Do 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.
When was this NPI record last updated?
The NPPES record for Thomas W Pfennig Do was last updated on July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Grand Rapids Ear Nose And Throat Pc · NPI 1063639870
Otolaryngology organization in Wyoming, Michigan. Organization record, active in the CMS NPPES registry since April 20, 2007.
## Identity
- **NPI:** 1063639870 (Entity type: Organization)
- **Enumerated:** April 20, 2007
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Legal business name:** Thomas W Pfennig Do
- **Organization subpart:** No
- **Authorized official:** Thomas Pfennig, OWNER
## Practice location
- **Address:** 1555 - 44TH STREET SW, Wyoming, MI 49509
- **Phone:** (616) 249-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (10), Qualified Audiologist (5); 13 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1063639870) · Data from the CMS NPPES public registry.