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KERRY POLIZZI MD
NPI 1508819517
Family Medicine in Grand Rapids, MI

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
245 STATE ST SE, GRAND RAPIDS, MI 49503(616) 685-1800(616) 685-1818 Get Directions Write a Review

NPPES record last updated: June 30, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kerry Polizzi Md NPPES

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

KERRY POLIZZI MD (NPI 1508819517) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301066000) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1995).

NPPES Registry Identity

NPI1508819517
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKERRY POLIZZICredential: MD
Location Address245 STATE ST SEGrand Rapids, MI 49503-4328
Mailing Address245 State St SeGrand Rapids, MI 49503-4328 · (616) 685-1808 · Fax (616) 685-1850
Phone(616) 685-1800
Fax(616) 685-1818
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1995
Enumeration DateMay 19, 2006
Last NPPES UpdateJune 30, 2009
✔ NPI 1508819517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301066000
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.
245 STATE ST SE, Grand Rapids, MI 49503
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Other Identifiers 10

Medicare UPING78284MI
Medicaid4877465MI
Medicaid4181764MI
Medicare ID-Type UnspecifiedM69390097MI
Medicare ID-Type UnspecifiedP32930056MI
Medicare ID-Type UnspecifiedM02830089MI
Medicaid4181782MI
Medicaid3482137MI
Medicaid4181817MI
Medicaid4166697MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kerry Polizzi 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.

PECOS PAC ID345243101
PECOS Enrollment IDI20260318003738
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician 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.

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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP
Clinic/Center (Multi-Specialty)
245 STATE ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-8050
ADVANTAGE HEALTH PHYSICIANS PC
Family Medicine
245 STATE ST SE, STE 1A
GRAND RAPIDS, MI 49503
Kent County (616) 913-1800
LAURIE J DAUM MD
Family Medicine
245 STATE ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-8500
GERARD RUDY
Family Medicine
245 STATE ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-8050
CHERYL TAMBURELLO MD
Family Medicine
245 STATE ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-1808
LISA LEROND PA-C
Physician Assistant
245 STATE ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-1800
DR. TIFFANY NICOLE JENKINS PHARMD
Pharmacist
245 STATE ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-7740

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 Kerry Polizzi's NPI number?

The NPI number for Kerry Polizzi is 1508819517. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Kerry Polizzi located?

Kerry Polizzi practices at 245 State St SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-1800.

What is Kerry Polizzi's specialty?

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

Is Kerry Polizzi enrolled in Medicare?

Yes. Kerry Polizzi 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.

When was this NPI record last updated?

The NPPES record for Kerry Polizzi was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.