Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew R Izzo, DO

Individual provider Family Medicine Physician · NPI 1639699481

Andrew R Izzo, DO is a Family Practice in Grand Rapids, Michigan. Qualified in 2017, 9 years ago. Practices with Internal Medicine of West Michigan PLLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3200 Eagle Park Dr NE Ste 102
Grand Rapids, MI 49525-7057
Phone: (616) 285-9090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101023501 (MI)

Record details

NPI number1639699481
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 22, 2017
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020
Mailing address3200 Eagle Park Dr Ne Ste 102, Grand Rapids, MI 49525-7057

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Internal Medicine Of West Michigan Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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