DR. RONALD J DIRKSE MD
NPI 1033374368
Psychiatry & Neurology - Child & Adolescent Psychiatry in Holland, MI

Active since July 25, 2008Opted out of Medicare · through Apr 5, 2028
12978 JAMES ST., STE 10, HOLLAND, MI 49424(616) 399-7005(616) 399-7150 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ronald J Dirkse Md NPPES

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

DR. RONALD J DIRKSE MD (NPI 1033374368) is an individual child & adolescent psychiatry provider in Holland, Michigan, licensed in Michigan (032227) and active in the NPI registry since July 2008. He has opted out of Medicare through April 5, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1033374368
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. RONALD J DIRKSECredential: MD
Location Address12978 JAMES ST., STE 10Holland, MI 49424
Mailing Address12978 James St., Ste 10Holland, MI 49424 · (616) 399-7005 · Fax (616) 399-7150
Fax(616) 399-7150
Sole ProprietorYes
Enumeration DateJuly 25, 2008
Last NPPES UpdateJune 11, 2012
NPI 1033374368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in MI · 032227
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
12978 JAMES ST., Holland, MI 49424

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Ronald J Dirkse Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 5, 2016 through April 5, 2028.

Opt-Out Effective DateApril 5, 2016
Opt-Out In Effect ThroughApril 5, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Ronald Dirkse's NPI number?

The NPI number for Ronald Dirkse is 1033374368. It was assigned to this individual provider in the NPPES registry on July 25, 2008.

Where is Ronald Dirkse located?

Ronald Dirkse practices at 12978 James St. Ste 10, Holland, MI 49424. The listed phone number is (616) 399-7005.

What is Ronald Dirkse's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Ronald Dirkse enrolled in Medicare?

No. Ronald Dirkse has opted out of Medicare through April 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ronald Dirkse was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.