MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES
NPI 1124042700
Internal Medicine in Muskegon, MI

NPI Status: Active since July 27, 2006

Contact Information

1560 E SHERMAN BLVD STE 250
MUSKEGON, MI
ZIP 49444
Phone: (231) 675-8145
Fax: (231) 672-6179

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  • Organization
  • Internal Medicine
  • Accepts Insurance
  • CLIA Number: 23D2164813
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 04-14-2027

About MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES

This page provides the complete NPI Profile along with additional information for Mercy Health Partners Sub-specialty Services, an internist established in Muskegon, Michigan operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1124042700 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The provider's . The authorized official of this NPI record is Michael Gusho (Chief Financial Officer)

NPI
1124042700
Provider Legal Name
MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1560 E SHERMAN BLVD STE 250 MUSKEGON, MI 49444
Location Phone
(231) 675-8145
Location Fax
(231) 672-6179
Mailing Address
PO BOX 776982 CHICAGO, IL 60677
Mailing Phone
(800) 494-5797
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-27-2006
Last Update Date
03-05-2026
Code Navigator

An internist like Mercy Health Partners Sub-specialty Services is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 1560 E Sherman Blvd Ste 309
    Muskegon, MI 49444
    (231) 672-8643
  • 1277 Mercy Dr
    Muskegon, MI 49444
    (231) 672-6186
  • 1212 E Sherman Blvd
    Muskegon, MI 49444
    (231) 672-3648

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License State
MI
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

 
2207RS0012XAllopathic & Osteopathic Physicians

Internal Medicine
Sleep Medicine

 
32080S0012XAllopathic & Osteopathic Physicians

Pediatrics
Sleep Medicine

 
4208600000XAllopathic & Osteopathic Physicians

Surgery

(MI)
5208G00000XAllopathic & Osteopathic Physicians

Thoracic Surgery (Cardiothoracic Vascular Surgery)

(MI)
6261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
7261QS1200XAmbulatory Health Care Facilities

Clinic/Center
Sleep Disorder Diagnostic

 
8363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

(MI)
9363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

(MI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite Saver Plus - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple PCP Saver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL GUSHO

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(734) 398-0642

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2164813
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
April 15, 2025
Certificate Expiration Date
April 14, 2027
Laboratory Director
BLAIR R. MOREAU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mercy Health Partners Sub-specialty Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124042700, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 0 + 4 + 4 + 7 + 0 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1124042700.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Audiologist
1560 E SHERMAN BLVD STE 250
MUSKEGON, MI 49444
Physician Assistant
1560 E SHERMAN BLVD STE 250
MUSKEGON, MI 49444
Physician Assistant
1560 E SHERMAN BLVD STE 250
MUSKEGON, MI 49444
Internal Medicine (Pulmonary Disease)
1560 E SHERMAN BLVD STE 250
MUSKEGON, MI 49444
Physician Assistant
1560 E SHERMAN BLVD STE 250
MUSKEGON, MI 49444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124042700, enumerated as an "organization" on July 27, 2006.

The provider is located at 1560 E SHERMAN BLVD STE 250 MUSKEGON, MI 49444 and the phone number is (231) 675-8145.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.