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

Dr. Dominic Pelle

Individual provider Orthopaedic Surgery Physician · NPI 1184945453

Dr. Dominic Pelle is an Orthopedic Surgery in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 2010, 16 years ago. Practices with Cleveland Clinic, a 6,935-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
16
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2010
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Practice location Address checks out

1000 Monroe Ave NW
Grand Rapids, MI 49503-1455
Phone: (616) 685-6497
Fax: (616) 685-3033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 4301096986 (MI)

Record details

NPI number1184945453
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 21, 2010
Last updated in NPPESJune 21, 2010

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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