Doctor profile · Federal record
Dr. Elliot Pennington, MD
Pediatric Surgery Physician (CMS: General Surgery) · Pediatric Surgery Physician · Grand Rapids, MI
- NPI 1235365081
- Accepts Medicare
- 17 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
330 Barclay Ave Ne Ste 202
Grand Rapids, MI 495032525
(616) 443-8007
fax (616) 458-0061 - Additional location
-
333 N Santa Rosa
San Antonio, TX 782073108
(713) 798-1750
fax (713) 798-4693 - Mailing address
-
330 Barclay Ave Ne Ste 201
Grand Rapids, MI 495032525
Credentials & registration
- NPI registered
- June 2009 — 17 yrs on file
- Profile last updated
- March 14, 2023
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 2086S0120X — NUCC code
- State licenses (2)
- Michigan #1235365081 · Texas #U2104
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235365081. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,771
Transactions
5
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Intuitive Surgical, INC. | 5 | $1,770.81 |
By nature of payment
Frequently asked questions
What is Dr. Elliot Pennington's medical specialty?
Dr. Elliot Pennington practices Pediatric Surgery Physician in Grand Rapids, MI.
Where does Dr. Elliot Pennington practice?
Dr. Elliot Pennington practices at 330 Barclay Ave Ne Ste 202, Grand Rapids, MI 495032525. Office phone: 6164438007.
What is Dr. Elliot Pennington's NPI?
Dr. Elliot Pennington's National Provider Identifier (NPI) is 1235365081, issued by NPPES.
Does Dr. Elliot Pennington accept Medicare assignment?
Yes. Dr. Elliot Pennington accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.