THADDEUS P. SRUTWA M.D.
NPI 1366489635
Physical Medicine & Rehabilitation in Grand Haven, MI

NPI Status: Active since June 02, 2006

Contact Information

16986 ROBBINS RD STE 180
GRAND HAVEN, MI
ZIP 49417
Phone: (616) 213-0253
Fax: (616) 296-2423

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  • Individual
  • Male
  • Physical Medicine & Rehabilitation
  • PECOS Enrolled

About THADDEUS SRUTWA

This page provides the complete NPI Profile along with additional information for Thaddeus Srutwa, a provider established in Grand Haven, Michigan with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1366489635 assigned on June 2006. The practitioner's primary taxonomy code is 208100000X with license number 4301045353 (MI). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1366489635
Provider Name
THADDEUS P. SRUTWA M.D.
Gender
Male
Entity Type
Individual
Location Address
16986 ROBBINS RD STE 180 GRAND HAVEN, MI 49417
Location Phone
(616) 213-0253
Location Fax
(616) 296-2423
Mailing Address
16986 ROBBINS RD STE 180 GRAND HAVEN, MI 49417
Mailing Phone
(616) 229-3295
Mailing Fax
(616) 296-2423
Is Sole Proprietor?
Yes
Enumeration Date
06-02-2006
Last Update Date
08-05-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
License No.
4301045353
License State
MI
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1204D00000XAllopathic & Osteopathic Physicians

Neuromusculoskeletal Medicine & OMM

4301045363 (MI)
2208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

4301045353 (MI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0700125OTHER (01)MIBLUE CROSS BLUE SHEILD

Medicare Participation & PECOS Enrollment Status

Thaddeus Srutwa is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 26 times for 11 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 314 times for 29 patients

Injection of trigger points, 3 or more muscles

Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.

This service was performed 131 times for 13 patients

Osteopathic manipulative treatment, 7-8 body regions

Osteopathic Manipulative Treatment (OMT) is a hands-on method where physicians use precise movements to diagnose, treat, and prevent illness or injury. In a 7-8 body regions OMT, the doctor focuses on multiple areas, such as the head, neck, back, or limbs, to enhance your body's natural healing process.

This service was performed 343 times for 29 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366489635, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 8 + 8 + 1 + 8 + 6 + 6 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1366489635.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation
16986 ROBBINS RD STE 180
GRAND HAVEN, MI 49417
Family Medicine
16986 ROBBINS RD STE 180
GRAND HAVEN, MI 49417
Family Medicine
16986 ROBBINS RD STE 180
GRAND HAVEN, MI 49417
Family Medicine
16986 ROBBINS RD STE 180
GRAND HAVEN, MI 49417

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366489635, enumerated as an "individual" on June 02, 2006.

The provider is located at 16986 ROBBINS RD STE 180 GRAND HAVEN, MI 49417 and the phone number is (616) 213-0253.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.