LYANETTE IRIZARRY MD
NPI 1457056657
Emergency Medicine in Grand Rapids, MI
About Lyanette Irizarry Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYANETTE IRIZARRY MD (NPI 1457056657) is an individual emergency medicine provider in Grand Rapids, Michigan, licensed in Michigan (4351051147APP23) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Lyanette Irizarry 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 Lyanette Irizarry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Birmingham, AL 35205
- Reassigned Medicare billing, Florida enrollment
- 802 clinicians in this Medicare group
Winter Haven, FL 33881
- Reassigned Medicare billing, Florida enrollment
- 1,065 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Winter Haven Hospital
Acute Care Hospitals · Winter Haven, FLPhysician 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 20
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 Lyanette Irizarry's NPI number?
The NPI number for Lyanette Irizarry is 1457056657. It was assigned to this individual provider in the NPPES registry on April 5, 2023.
Where is Lyanette Irizarry located?
Lyanette Irizarry practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-1680.
What is Lyanette Irizarry's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Lyanette Irizarry enrolled in Medicare?
Yes. Lyanette Irizarry 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 Lyanette Irizarry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lyanette Irizarry reassigns Medicare benefits to 2 organizations: Paragon Contracting Services LLC (Birmingham, AL) and Paragon Emergency Services LLC (Winter Haven, FL). 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 Lyanette Irizarry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lyanette Irizarry affiliated with any hospitals?
According to CMS data, Lyanette Irizarry is affiliated with Winter Haven Hospital.
When was this NPI record last updated?
The NPPES record for Lyanette Irizarry was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Lyanette Irizarry, MD · NPI 1457056657
Emergency Medicine physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since April 5, 2023.
## Identity
- **NPI:** 1457056657 (Entity type: Individual)
- **Enumerated:** April 5, 2023
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 4351051147APP23 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MICHIGAN ST NE, Grand Rapids, MI 49503-2560
- **Phone:** (616) 391-1680
## 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): Paragon Contracting Services LLC (NPI 1225071459, Birmingham, AL); Paragon Emergency Services LLC (NPI 1912101650, Winter Haven, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457056657) · Data from the CMS NPPES public registry.