Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHIGAN PATHOLOGY SPECIALISTS PC
NPI 1033193875
Pathology - Anatomic Pathology & Clinical Pathology in Grand Rapids, MI

Active since December 05, 2005
35 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-2660(616) 267-2661 Get Directions Write a Review

NPPES record last updated: October 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 17, 2026, Oct 28, 2020 (2 updates tracked since 2020).

About Michigan Pathology Specialists Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN PATHOLOGY SPECIALISTS PC (NPI 1033193875) is a healthcare organization registered as an anatomic pathology & clinical pathology in Grand Rapids, Michigan and active in the NPI registry since December 2005. The organization maintains a secondary practice location in Grand Rapids and lists Anthony Kubat, President, as its authorized official.

NPPES Registry Identity

NPI1033193875
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameMICHIGAN PATHOLOGY SPECIALISTS PC
Location Address35 MICHIGAN ST NEGrand Rapids, MI 49503-2514
Mailing Address4267 Canal Ave SwGrandville, MI 49418-2218 · (616) 267-2660
Fax(616) 267-2661
Organization SubpartNo
Authorized OfficialAnthony KubatPresident · (616) 267-2660
Enumeration DateDecember 5, 2005
Last NPPES UpdateOctober 17, 20262 updates tracked since enumeration
NPPES CertifiedOctober 17, 2026
✔ NPI 1033193875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in MI · 23D0380113
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
35 MICHIGAN ST NE, Grand Rapids, MI 49503

Secondary Practice Location 1

Location 1100 Michigan NEGrand Rapids, MI 49506 · Phone (616) 391-1840

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michigan Pathology Specialists Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20040327000041Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

41

Medicare enrollment records show 41 clinicians reassign Medicare billing to Michigan Pathology Specialists PC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 41
Pathology
NPI 1154826360
35 MICHIGAN ST NE STE 6330
Grand Rapids, MI 49503
(616) 377-4403
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1881012425
35 MICHIGAN ST NE
Grand Rapids, MI 49503
(802) 847-2700
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1619024585
35 MICHIGAN ST NE # MC056
Grand Rapids, MI 49503
(616) 267-2660
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1518907138
35 MICHIGAN ST NE
Grand Rapids, MI 49503
(616) 267-2660
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1891173647
35 MICHIGAN ST NE # MC056
Grand Rapids, MI 49503
(616) 669-0170
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1255836847
35 MICHIGAN ST NE STE 6330
Grand Rapids, MI 49503
(800) 475-6236
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1912171638
35 MICHIGAN ST NE
Grand Rapids, MI 49503
(616) 774-7721
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1154610913
35 MICHIGAN ST NE
Grand Rapids, MI 49503
(616) 267-2660
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1538390489
100 MICHIGAN ST NE # MC056
Grand Rapids, MI 49503
(616) 391-1965
✔ PECOS✔ Accepts Medicare0.2 mi
Pathology
NPI 1376923516
100 MICHIGAN ST NE
Grand Rapids, MI 49503
(616) 267-2688
✔ PECOS✔ Accepts Medicare0.2 mi
Pathology
NPI 1023165990
100 MICHIGAN ST NE
Grand Rapids, MI 49503
(616) 391-1840
✔ PECOS✔ Accepts Medicare0.2 mi
Pathology
NPI 1255458592
1036 FULLER AVE NE
Grand Rapids, MI 49503
(616) 233-8574
✔ PECOS✔ Accepts Medicare1.6 mi
Pathology
NPI 1922094754
2990 FRANKLIN AVE SW
Grandville, MI 49418
(616) 530-3344
✔ PECOS✔ Accepts Medicare6.5 mi
Pathology
NPI 1477540094
2990 FRANKLIN AVE SW
Grandville, MI 49418
(616) 530-3344
✔ PECOS✔ Accepts Medicare6.5 mi
Pathology
NPI 1356367924
1309 SHELDON RD
Grand Haven, MI 49417
(616) 847-5257
✔ PECOS29 mi
Pathology
NPI 1235797861
1521 GULL RD
Kalamazoo, MI 49048
(269) 226-7231
✔ PECOS✔ Accepts Medicare46 mi
Pathology
NPI 1760478598
601 JOHN ST
Kalamazoo, MI 49007
(269) 341-7654
✔ PECOS✔ Accepts Medicare48 mi
Pathology
NPI 1386637692
601 JOHN ST
Kalamazoo, MI 49007
(269) 341-7654
✔ PECOS✔ Accepts Medicare48 mi
Pathology
NPI 1023126042
9460 S SAGINAW RD STE D
Grand Blanc, MI 48439
(810) 733-7741
✔ PECOS✔ Accepts Medicare105 mi
Pathology
NPI 1043474885
1500 EAST MEDICAL CENTER DR 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
Ann Arbor, MI 48109
(800) 862-7284
✔ PECOS✔ Accepts Medicare110 mi
See all 41 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michigan Pathology Specialists PC's NPI number?

The NPI number for Michigan Pathology Specialists PC is 1033193875. It was assigned to this organization in the NPPES registry on December 5, 2005.

Where is Michigan Pathology Specialists PC located?

Michigan Pathology Specialists PC is located at 35 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-2660.

What is Michigan Pathology Specialists PC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Michigan Pathology Specialists PC enrolled in Medicare?

Yes. Michigan Pathology Specialists PC is registered in the Medicare PECOS enrollment system.

When is Michigan Pathology Specialists PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Michigan Pathology Specialists PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians, all in Pathology, reassign their Medicare billing to Michigan Pathology Specialists PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 8 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michigan Pathology Specialists PC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Michigan Pathology Specialists PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michigan Pathology Specialists PC was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.