Elliot Carr Pennington, MD
Pediatric Surgery Physician · Grand Rapids, MI
Elliot Carr Pennington, MD is a pediatric surgery physician with a practice address in Grand Rapids, Michigan, and NPI 1235365081, issued on Jun 8, 2009. Check the license (Michigan 1235365081, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.
- Name
- Elliot Carr Pennington
- Credential
- MD
- Primary taxonomy
- Pediatric Surgery Physician 2086S0120X
- License numbers
- 1235365081 MI
U2104 TX
Self-reported in NPPES; status is on the state search - Practice location
- 330 Barclay Ave NE Ste 202, Grand Rapids, MI 49503
- Phone
- (616) 443-8007
- Enumerated
- Jun 8, 2009
- Record last updated
- Mar 14, 2023
- Fax
- (616) 458-0061
- Medicare enrollment
- Enrolled (PECOS I20181105001638); accepts Medicare assignment
- Medical or professional school
- University Of Missouri, Columbia School Of Medicine, 2009
- Entity
- Type 1 · individual
8 nearest pediatric surgery physician records → All 46 in Michigan → Look up another NPI →
Also registered at 330 Barclay Ave NE Ste 202
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jessica Andrina, CPNP-ACCritical Care Pediatric Nurse Practitioner1285115162
- Maria Tecos, MDPediatric Surgery Physician1942720305
Verify Elliot Carr Pennington in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
Search for license 1235365081Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $1,770.81
5 payments; by number, the most common kind was travel and lodging; the largest payer was Intuitive Surgical, Inc. The 523 providers of this specialty with any payment received $5,419.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Pediatric Surgeons OF West Michigan PCGrand Rapids, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Elliot Carr Pennington among 46 pediatric surgery physician records in Michigan
Elliot Carr Pennington, MD is one of 46 pediatric surgery physician records with a practice address in Michigan. 61% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 76% of them.
- NPI issued2009 · 76% of these records are older, 17% newer
- In a Medicare fileYes · 61% of these records are
- In the CMS Doctors and Clinicians fileYes · 37% of these records are
- Graduated2009 · median 2001 among the 17 with a school on file
- Record last updated2023 · 39% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2086S0120X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Surgery Physician providers in Michigan
There are 46 pediatric surgery physician records in Michigan.
All 46 in Michigan → Every provider in Grand Rapids → Pediatric Surgery Physician nationwide →
The 8 pediatric surgery physician records with the nearest ZIP codes
- Robert Connors, MDGrand Rapids, MI 495031679622765
- James Decou, MDGrand Rapids, MI 495031326197625
- Emily Durkin, M.D.Grand Rapids, MI 495031386694958
- Eric Groh, M.D.Grand Rapids, MI 495031821359613
- Daniel Robertson, M.D.Grand Rapids, MI 495031578501573
- Marc Schlatter, MDGrand Rapids, MI 495031235288317
- Maria Tecos, MDGrand Rapids, MI 495031942720305
- Neal Uitvlugt, MDGrand Rapids, MI 495031326197476
Common questions
What is Elliot Carr Pennington, MD's NPI number?
Elliot Carr Pennington, MD's National Provider Identifier (NPI) is 1235365081, issued on Jun 8, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Elliot Carr Pennington, MD located?
The NPPES record lists a practice address at 330 Barclay Ave NE Ste 202, Grand Rapids, MI, 49503. Phone: (616) 443-8007. Providers update this record themselves, so call before visiting.
How can I verify Elliot Carr Pennington, MD's license?
NPPES lists Michigan license number 1235365081, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.