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

Maria E Dimusto-Poortenga, MD

Individual provider Pediatrics Physician · NPI 1013940980

Maria E Dimusto-Poortenga, MD is a Pediatrics Physician in Grand Rapids, Michigan. Works from 2 locations. Licensed in Florida, Michigan and Ohio.

Licensed in
FL, MI, OH
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

200 Jefferson Ave SE NICU
Grand Rapids, MI 49503-4502
Phone: (616) 752-6554
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 McKinley Park Dr, Marion, OH 43302-6399 — (740) 383-8400

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 4301068818 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301068818 (MI)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence 35C001071 (OH)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence 1013940980 (MI)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence ME141884 (FL)

Record details

NPI number1013940980
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023
Mailing address245 State St Se, Grand Rapids, MI 49503-4328

Other providers in Grand Rapids