CESAR CARRIZALES (PA) – Physician Assistant, NPI 1639665839

CESAR CARRIZALES (PA) is a healthcare provider. based in Lawton, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5201009879 (MI). The NPI Number for CESAR CARRIZALES (PA) is 1639665839

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
CESAR CARRIZALES (PA)
NPI
1639665839
Phone
(269) 200-6819
Address
73547 26TH ST
Enumeration Date
11 July 2018
Last Update Date
17 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2696553090
Graduation Year
2020 (6 years ago)
PAC ID
0749690626
Group Practice PAC ID
9032008495
Professional Enrollment ID
I20201104000695
Address ID
MI490798242PA451XXEXXX401

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Other namesUpdated within 12 months

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for CESAR CARRIZALES (PA)

  • 73547 26TH ST

    LAWTON, MI 490656691

    Phone: (269) 200-6819

    Type: Mailing

  • 800, Paw Paw Avenue, Benton Harbor, Benton Charter Township, Berrien County, Michigan, 49022, United States

    Benton Harbor, MI 490223881

    Phone: (855) 869-6900

    Type: Location

  • 3057 Gull Rd

    Kalamazoo, MI 490481281

    Phone: (269) 552-6500

    Type: Location

  • 451 HEALTH PKWY STE G

    PAW PAW, MI 490798242

    Phone: (269) 668-3348

    Type: Location

  • 601 JOHN STREET

    BOX 42

    KALAMAZOO, MI 49007

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $2,110.

Total Amount is formed as General ($2,110) + Research ($0) + Ownership ($0) = $2,110.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($525).

Total Amount

$2,110

General + Research + Ownership

Payments

92

Total payment records

General Amount

$2,110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201104000695IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49065)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032008495View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Clinical Social WorkerMI
Nurse PractitionerMI
Physician AssistantMI
Physician AssistantMI
General SurgeryMI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What identifier follows CESAR CARRIZALES (PA) across health systems?
The NPI 1639665839 uniquely identifies CESAR CARRIZALES (PA) in U.S. healthcare data.
Is CESAR CARRIZALES (PA)'s NPI status active today?
Active status means CESAR CARRIZALES (PA)'s NPI record is not deactivated in the public file.
How should patients interpret CESAR CARRIZALES (PA)'s specialty?
The extract shows Physician Assistant for CESAR CARRIZALES (PA). Clinical services aligned with this taxonomy classification.
Which community is linked to CESAR CARRIZALES (PA)?
CESAR CARRIZALES (PA) shows a connection to Lawton, Michigan in registry-derived data.
Why is information missing for CESAR CARRIZALES (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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