MICHAEL D. PEZZILLO MD – NPI #1952890519
Obstetrics & Gynecology

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.

MICHAEL PEZZILLO is a physician located in KALAMAZOO, MI. NPPES has assigned the NPI number 1952890519 to MICHAEL PEZZILLO on May 08, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was last updated on Oct 01, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL PEZZILLO below.

NPI Profile for
MICHAEL D. PEZZILLO

NPI Number
1952890519
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL D. PEZZILLO
Credentials
MD
Primary location
601 JOHN ST STE N1200
KALAMAZOO, MI 49007-5318
Phone: (269) 341-7979 Fax:
3 Other location(s):
3031 W Grand Blvd
Detroit, MI 48202-3046
Phone: (313) 916-1023
Fax: (313) 916-9713
853 Jefferson Ave Rm E102
Memphis, TN 38103-2807
Phone: (901) 448-4795
Fax: (901) 448-7075
920 Madison Ave Suite 447
Memphis, TN 38163-2807
Phone: (901) 448-4795
Mailing address
601 JOHN ST # 42
KALAMAZOO, MI 49007-5341
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 01, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
MI 4351050377
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
BRONSON HEALTHCARE GROUP DIRECT ADDRESS
Content Type
OTHER
Affiliation
Y
Endpoint Location
601 JOHN ST,
KALAMAZOO, MI 77025-1669

Additional Information

Education
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE - Graduated 2018
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.