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

Peter C Theut, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1720076219

Peter C Theut, MD is a Sports Medicine in Grand Rapids, Michigan. Graduated from Michigan State University College of Human Medicine in 1994, 32 years ago. Practices with Orthopaedic Associates of Grand Rapids PC, a 86-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
32
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2005
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

1111 Leffingwell Ave NE Ste 100
Grand Rapids, MI 49525-6406
Phone: (616) 459-7101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 4301063761 (MI)

Record details

NPI number1720076219
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 10, 2005
Last updated in NPPESMarch 12, 2013
Mailing address1111 Leffingwell Ave Ne, Ste 100, Grand Rapids, MI 49525-6406

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesORTHOPEDIC SURGERY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1994 (32 years in practice)
Group practice Orthopaedic Associates Of Grand Rapids Pc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Grand Rapids