DR. JOHN JEFFREY ITALIANO DO
NPI 1316681232
Family Medicine in Grand Rapids, MI

Q: What is John Italiano's NPI number?

The NPI number for John Italiano is 1316681232. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Q: What is John Italiano's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is John Italiano enrolled in Medicare?

No. John Italiano has opted out of Medicare through October 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for John Italiano was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 26, 2022Opted out of Medicare · through Oct 30, 2027

6157 28TH ST SE STE 18B, GRAND RAPIDS, MI 49546(616) 282-5969 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2026, Dec 3, 2025, Apr 26, 2022 (3 updates tracked since 2022).

On this page

About Dr. John Jeffrey Italiano Do NPPES

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

DR. JOHN JEFFREY ITALIANO DO (NPI 1316681232) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101027462) and active in the NPI registry since April 2022. He has opted out of Medicare through October 30, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316681232

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JOHN JEFFREY ITALIANOCredential: DO

Location Address6157 28TH ST SE STE 18BGrand Rapids, MI 49546-6947

Mailing Address6157 28th St Se Ste 18bGrand Rapids, MI 49546-6947 · (616) 282-5969 · Fax (616) 276-6089

Phone(616) 282-5969

Sole ProprietorNo

Enumeration DateApril 26, 2022

Last NPPES UpdateJanuary 2, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2026

✔ NPI 1316681232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101027462

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 5101027462 (MI)

6157 28TH ST SE STE 18B, Grand Rapids, MI 49546

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Jeffrey Italiano Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 30, 2025 through October 30, 2027.

Opt-Out Effective DateOctober 30, 2025

Opt-Out In Effect ThroughOctober 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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

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 John Italiano's NPI number?

The NPI number for John Italiano is 1316681232. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is John Italiano located?

John Italiano practices at 6157 28th St SE Ste 18B, Grand Rapids, MI 49546. The listed phone number is (616) 282-5969.

What is John Italiano's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Italiano enrolled in Medicare?

No. John Italiano has opted out of Medicare through October 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Italiano was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.