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

Michael Dominic Pezzillo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952890519

Michael Dominic Pezzillo, MD is an Obstetrics/Gynecology in Kalamazoo, Michigan. Graduated from Wayne State University School of Medicine in 2018, 8 years ago. Practices with Bronson Methodist Hospital, a 719-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 John St Ste N1200
Kalamazoo, MI 49007-5318
Phone: (269) 341-7979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3031 W Grand Blvd, Detroit, MI 48202-3046 — (313) 916-1023
  • 853 Jefferson Ave Rm E102, Memphis, TN 38103-2807 — (901) 448-4795
  • 920 Madison Ave Suite 447, Memphis, TN 38163-2807 — (901) 448-4795

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4351050377 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952890519
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2018
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Bronson Methodist Hospital — 719 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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