DR. ANITA M ASADORIAN (D.O.) – Family Medicine Physician, NPI 1811925522

DR. ANITA M ASADORIAN (D.O.) is a healthcare provider. based in Grand rapids, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 5101016321 (MI). The NPI Number for DR. ANITA M ASADORIAN (D.O.) is 1811925522

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANITA M ASADORIAN (D.O.)
NPI
1811925522
Phone
(616) 486-6790
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
29 June 2006
Last Update Date
24 August 2016

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
2699480078
Graduation Year
2005 (21 years ago)
PAC ID
5294899076
Group Practice PAC ID
8729970108
Professional Enrollment ID
I20090122000341
Address ID
MI490589676HA225XXHWYX502
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for DR. ANITA M ASADORIAN (D.O.)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone: (616) 486-6790

    Type: Mailing

  • South Rodgers Court, Caledonia, Caledonia Township, Kent County, Michigan, United States

    CALEDONIA, MI 493168052

    Phone: (616) 891-0422

    Fax: (616) 891-0416

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($51).

Total Amount

$94

General + Research + Ownership

Payments

4

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

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: 2009-01-22

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
I20090122000341IFamily PracticeMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes315140$0
99213Established patient office or other outpatient visit, 20-29 minutes186115$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit119119$0
G0444Annual depression screening, 5 to 15 minutes109109$0
83036Hemoglobin a1c level6736$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 8729970108View full group profile
NameSpecialtyState
Internal MedicineMI
Nurse PractitionerMI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ANITA M ASADORIAN (D.O.)?
DR. ANITA M ASADORIAN (D.O.) — NPI 1811925522 — is the standard way to identify this listing.
Does CMS list DR. ANITA M ASADORIAN (D.O.) as active?
Yes — DR. ANITA M ASADORIAN (D.O.) is active in the NPI listing used on this page.
What taxonomy line describes DR. ANITA M ASADORIAN (D.O.)?
For research purposes, treat DR. ANITA M ASADORIAN (D.O.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANITA M ASADORIAN (D.O.)?
DR. ANITA M ASADORIAN (D.O.)'s geographic hint is Grand Rapids, Michigan in our summary view.
Is the information about DR. ANITA M ASADORIAN (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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