MICHAEL DOMINIC PEZZILLO MD
NPI 1952890519
Obstetrics & Gynecology in Kalamazoo, MI

Active since May 08, 2018PECOS EnrolledAccepts Medicare Assignment
601 JOHN ST STE N1200, KALAMAZOO, MI 49007(269) 341-7979 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael Dominic Pezzillo Md NPPES

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

MICHAEL DOMINIC PEZZILLO MD (NPI 1952890519) is an individual obstetrics & gynecology provider in Kalamazoo, Michigan, licensed in Michigan (4351050377) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1952890519
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMICHAEL DOMINIC PEZZILLOCredential: MD
Location Address601 JOHN ST STE N1200Kalamazoo, MI 49007-5318
Mailing Address601 John St # 42Kalamazoo, MI 49007-5341
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2018
Enumeration DateMay 8, 2018
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1952890519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4351050377
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
601 JOHN ST STE N1200, Kalamazoo, MI 49007

Secondary Practice Locations 3

Location 1920 Madison Ave Suite 447Memphis, TN 38163-2807 · Phone (901) 448-4795
Location 2853 Jefferson Ave Rm E102Memphis, TN 38103-2807 · Phone (901) 448-4795 · Fax (901) 448-7075
Location 33031 W Grand BlvdDetroit, MI 48202-3046 · Phone (313) 916-1023 · Fax (313) 916-9713

Accepted Insurance

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

Michael Dominic Pezzillo 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 ID1153828777
PECOS Enrollment IDI20251009001366
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Pezzillo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
Critical Access
408 HAZEN ST
Paw Paw, MI 49079
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1235131137 (Michigan)
  • 43 clinicians in this Medicare group
Internal Medicine
300 NORTH AVE
Battle Creek, MI 49017
  • Reassigned Medicare billing, Michigan enrollment
  • 557 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 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Bronson South Haven Hospital

Acute Care Hospitals · South Haven, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230085
Location955 S Bailey AveSouth Haven, MI 49090 · Van Buren County
Emergency services

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49007 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 12

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

Advanced Practice Midwife
601 JOHN ST STE N1200
KALAMAZOO, MI 49007
Advanced Practice Midwife
601 JOHN ST STE N1200
KALAMAZOO, MI 49007
Nurse Practitioner (Family)
601 JOHN ST STE N1200
KALAMAZOO, MI 49007
Obstetrics & Gynecology (Obstetrics)
601 JOHN ST STE N1200
KALAMAZOO, MI 49007
Obstetrics & Gynecology
601 JOHN ST STE N1200
KALAMAZOO, MI 49007
Obstetrics & Gynecology
601 JOHN ST STE N1200
KALAMAZOO, MI 49007
Advanced Practice Midwife
601 JOHN ST STE N1200
KALAMAZOO, MI 49007
Nurse Practitioner (Adult Health)
601 JOHN ST STE N1200
KALAMAZOO, MI 49007

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 Michael Pezzillo's NPI number?

The NPI number for Michael Pezzillo is 1952890519. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is Michael Pezzillo located?

Michael Pezzillo practices at 601 John St Ste N1200, Kalamazoo, MI 49007. The listed phone number is (269) 341-7979.

What is Michael Pezzillo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Pezzillo enrolled in Medicare?

Yes. Michael Pezzillo 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 Michael Pezzillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Pezzillo reassigns Medicare benefits to 3 organizations: Bronson Methodist Hospital (Kalamazoo, MI), Bronson Lakeview Hospital (Paw Paw, MI) and Bronson Battle Creek Hospital (Battle Creek, MI). 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 Michael Pezzillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Pezzillo accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Michael Pezzillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Pezzillo affiliated with any hospitals?

According to CMS data, Michael Pezzillo is affiliated with Bronson Methodist Hospital, Bronson Battle Creek Hospital, Bronson South Haven Hospital and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Michael Pezzillo was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.