1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Urology
  6. NPI Profile

UROLOGY ASSOCIATES PC OF GRAND RAPIDS
NPI 1073536272
Urology in Grand Rapids, MI

Active since July 26, 2006CLIA 23D0692891 · Microscopy
245 CHERRY ST SE, SUITE 202, GRAND RAPIDS, MI 49503(616) 459-3551(616) 459-1060 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Urology Associates Pc Of Grand Rapids NPPES

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

UROLOGY ASSOCIATES PC OF GRAND RAPIDS (NPI 1073536272) is a healthcare organization registered as an urology in Grand Rapids, Michigan and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through October 24, 2026 and lists Stacy Jett, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1073536272
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameUROLOGY ASSOCIATES PC OF GRAND RAPIDS
Location Address245 CHERRY ST SE, SUITE 202Grand Rapids, MI 49503-4607
Mailing Address245 Cherry St Se, Suite 202Grand Rapids, MI 49503-4607 · (616) 459-3551 · Fax (616) 459-1060
Phone(616) 459-3551
Fax(616) 459-1060
Organization SubpartNo
Authorized OfficialStacy JettPractice Administrator · (616) 459-3551
Enumeration DateJuly 26, 2006
Last NPPES UpdateDecember 15, 2023
NPPES CertifiedDecember 15, 2023
✔ NPI 1073536272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
245 CHERRY ST SE, Grand Rapids, MI 49503
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Urology Associates Pc Of Grand Rapids is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Urology Associates PC Of Grand Rapids, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Jeffrey Casamento, M.D.
Urology
NPI 1780607044
245 CHERRY ST SE SUITE 202
Grand Rapids, MI 49503
(616) 459-3551
✔ PECOS✔ Accepts MedicareSame address
Chase Heilbronn
Urology
NPI 1508355090
245 CHERRY ST SE STE 202
Grand Rapids, MI 49503
(616) 459-3511
✔ PECOS✔ Accepts MedicareSame address
Michael Kozminski, MD
Urology
NPI 1750678264
245 CHERRY ST SE STE 202
Grand Rapids, MI 49503
(616) 459-3551
✔ PECOS✔ Accepts MedicareSame address
Erik Ratchford, D.O.
Urology
NPI 1003013392
245 CHERRY ST SE, SUITE 202
Grand Rapids, MI 49503
(616) 459-3551
✔ PECOS✔ Accepts MedicareSame address
Paul Rodriguez, M.D.
Urology
NPI 1790709996
245 CHERRY ST SE SUITE 202
Grand Rapids, MI 49503
(616) 459-3551
✔ PECOSSame address
Timothy Pelkey, MD
Pathology
NPI 1942296785
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7166
✔ PECOS✔ Accepts Medicare7.6 mi
Houssam Attal, MD
Pathology
NPI 1760478598
601 JOHN ST
Kalamazoo, MI 49007
(269) 341-7654
✔ PECOS✔ Accepts Medicare47 mi
Kim Mills, MD
Pathology
NPI 1386637692
601 JOHN ST
Kalamazoo, MI 49007
(269) 341-7654
✔ PECOS✔ Accepts Medicare47 mi
Alero Inyang, M.D.
Pathology
NPI 1447460506
1500 EAST MEDICAL CENTER DR 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
Ann Arbor, MI 48109
(800) 862-7284
✔ PECOS✔ Accepts Medicare109 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D0692891

Urology Associates Of Grand Rapids PC · Grand Rapids, MI
Active · expires Oct 24, 2026
CLIA Number23D0692891
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorPaul N. Rodriguez MD
Laboratory Phone(616) 459-3551
Laboratory LocationUrology Associates Of Grand Rapids PC245 Cherry Street SE Suite 202, Grand Rapids, MI 49503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Urology Associates PC Of Grand Rapids's NPI number?

The NPI number for Urology Associates PC Of Grand Rapids is 1073536272. It was assigned to this organization in the NPPES registry on July 26, 2006.

Where is Urology Associates PC Of Grand Rapids located?

Urology Associates PC Of Grand Rapids is located at 245 Cherry St SE Suite 202, Grand Rapids, MI 49503. The listed phone number is (616) 459-3551.

What is Urology Associates PC Of Grand Rapids's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Urology Associates PC Of Grand Rapids enrolled in Medicare?

Yes. Urology Associates PC Of Grand Rapids is registered in the Medicare PECOS enrollment system.

Does Urology Associates PC Of Grand Rapids hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0692891) is associated with this NPI, valid through October 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Urology Associates PC Of Grand Rapids accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Urology Associates PC Of Grand Rapids 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 Urology Associates PC Of Grand Rapids was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.