DR. PAUL JAMES SPILOTRO MD
NPI 1982823159
Pediatrics in Zeeland, MI
About Dr. Paul James Spilotro Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL JAMES SPILOTRO MD (NPI 1982823159) is an individual pediatrics provider in Zeeland, Michigan, licensed in Michigan (4301085950) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Paul James Spilotro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
14Medicare enrollment records show Paul Spilotro reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 249 clinicians in this Medicare group
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 724 clinicians in this Medicare group
Vestaburg, MI 48891
- Reassigned Medicare billing, Michigan enrollment
- 258 clinicians in this Medicare group
Niles, MI 49120
- Reassigned Medicare billing, Michigan enrollment
- 57 clinicians in this Medicare group
Lansing, MI 48910
- Reassigned Medicare billing, Michigan enrollment
- 167 clinicians in this Medicare group
Cadillac, MI 49601
- Reassigned Medicare billing, Michigan enrollment
- 156 clinicians in this Medicare group
Cadillac, MI 49601
- Reassigned Medicare billing, Michigan enrollment
- 168 clinicians in this Medicare group
Midland, MI 48670
- Reassigned Medicare billing, Michigan enrollment
- 536 clinicians in this Medicare group
Midland, MI 48670
- Reassigned Medicare billing, Michigan enrollment
- 6 clinicians in this Medicare group
Prudenville, MI 48651
- Reassigned Medicare billing, Michigan enrollment
- 123 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49464 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.
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 Paul Spilotro's NPI number?
The NPI number for Paul Spilotro is 1982823159. It was assigned to this individual provider in the NPPES registry on April 25, 2007.
Where is Paul Spilotro located?
Paul Spilotro practices at 8333 Felch St Suite 200, Zeeland, MI 49464. The listed phone number is (616) 772-7530.
What is Paul Spilotro's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Paul Spilotro enrolled in Medicare?
Yes. Paul Spilotro is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Paul Spilotro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Spilotro reassigns Medicare benefits to 14 organizations: Lakeland Hospitals At Niles And St Joseph, Inc (Saint Joseph, MI), Lakeland Medical Practices (Saint Joseph, MI), Mymichigan Medical Center Alma (Vestaburg, MI), Lakeland Community Hospital Watervliet (Niles, MI), Mclaren Greater Lansing (Lansing, MI) and 9 more organizations, listed in the Medicare section above. 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 Paul Spilotro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Spilotro accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Paul Spilotro 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.
When was this NPI record last updated?
The NPPES record for Paul Spilotro was last updated on June 10, 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.
# Dr. Paul James Spilotro, MD · NPI 1982823159
Pediatrics physician in Zeeland, Michigan. Individual provider, active in the CMS NPPES registry since April 25, 2007.
## Identity
- **NPI:** 1982823159 (Entity type: Individual)
- **Enumerated:** April 25, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 4301085950 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 8333 FELCH ST, SUITE 200, Zeeland, MI 49464-2608
- **Phone:** (616) 772-7530 · **Fax:** (616) 748-3654
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): Lakeland Hospitals At Niles And St Joseph, Inc (NPI 1134220031, Saint Joseph, MI); Lakeland Medical Practices (NPI 1538397120, Saint Joseph, MI); Mymichigan Medical Center Alma (NPI 1407938590, Vestaburg, MI); Lakeland Community Hospital Watervliet (NPI 1538592753, Niles, MI); Mclaren Greater Lansing (NPI 1285718064, Lansing, MI); and 9 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1982823159) · Data from the CMS NPPES public registry.