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JOSEPHINE RIA PITASARI MD
NPI 1801589668
Student in an Organized Health Care Education/Training Program in Flint, MI

Active since May 30, 2023PECOS Enrolled
G3230 BEECHER RD STE 2, FLINT, MI 48532(810) 342-5800(810) 342-5810 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Josephine Ria Pitasari Md NPPES

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

JOSEPHINE RIA PITASARI MD (NPI 1801589668) is an individual student in an organized health care education/training program in Flint, Michigan, licensed in Michigan (4351051745) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801589668
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJOSEPHINE RIA PITASARICredential: MD
Location AddressG3230 BEECHER RD STE 2Flint, MI 48532-3604
Mailing AddressG3230 Beecher Rd Ste 2Flint, MI 48532-3604 · (810) 342-5800 · Fax (810) 342-5810
Phone(810) 342-5800
Fax(810) 342-5810
Sole ProprietorNo
Enumeration DateMay 30, 2023
Last NPPES UpdateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1801589668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351051745
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
G3230 BEECHER RD STE 2, Flint, MI 48532
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Josephine Ria Pitasari Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. HAYMANOT Y GEBRE M.D.
Internal Medicine
G3230 BEECHER RD STE 2
FLINT, MI 48532
Genesee County (810) 342-5800
DR. NICHOLAS HALL DO
Student in an Organized Health Care Education/Training Program
G3230 BEECHER RD STE 2
FLINT, MI 48532
Genesee County (810) 342-5800
VIRANGKUMAR HARSHADBHAI PATEL MD
Student in an Organized Health Care Education/Training Program
G3230 BEECHER RD STE 2
FLINT, MI 48532
Genesee County (810) 342-5800
HARNEET KAUR GHUMMAN MD
Student in an Organized Health Care Education/Training Program
G3230 BEECHER RD STE 2
FLINT, MI 48532
Genesee County (810) 342-5800
AMRU MUSTAFA HASHEM MD
Student in an Organized Health Care Education/Training Program
G3230 BEECHER RD STE 2
FLINT, MI 48532
Genesee County (810) 342-5800
PREETHAM VENKATESWARAN MD
Internal Medicine
G3230 BEECHER RD STE 2
FLINT, MI 48532
Genesee County (810) 342-5800
UGOCHUKWU AKUSOBA MD
Student in an Organized Health Care Education/Training Program
G3230 BEECHER RD STE 2
FLINT, MI 48532
Genesee County (810) 342-5800
MOHAMMAD YOUSEF MD
Internal Medicine
G3230 BEECHER RD STE 2
FLINT, MI 48532
Genesee County (810) 342-5800

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 Josephine Pitasari's NPI number?

The NPI number for Josephine Pitasari is 1801589668. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Where is Josephine Pitasari located?

Josephine Pitasari practices at G3230 Beecher Rd Ste 2, Flint, MI 48532. The listed phone number is (810) 342-5800.

What is Josephine Pitasari's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Josephine Pitasari enrolled in Medicare?

Yes. Josephine Pitasari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Josephine Pitasari was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.