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GRAND RAPIDS EAR NOSE & THROAT CENTER PLLC
NPI 1124052337
Otolaryngology in Grand Rapids, MI

Active since July 11, 2006
655 KENMOOR AVE SE, SUITE A, GRAND RAPIDS, MI 49546(616) 575-1212(616) 575-1219 Get Directions Write a Review

NPPES record last updated: July 21, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grand Rapids Ear Nose & Throat Center Pllc NPPES

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

GRAND RAPIDS EAR NOSE & THROAT CENTER PLLC (NPI 1124052337), doing business as Ear, Nose And Throat Center, P.c., is a healthcare organization registered as an otolaryngology in Grand Rapids, Michigan and active in the NPI registry since July 2006. The organization lists John Michael Kosta, President, as its authorized official.

NPPES Registry Identity

NPI1124052337
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameGRAND RAPIDS EAR NOSE & THROAT CENTER PLLC
Location Address655 KENMOOR AVE SE, SUITE AGrand Rapids, MI 49546-8622
Mailing Address655 Kenmoor Ave Se, Suite AGrand Rapids, MI 49546-8622 · (616) 575-1212 · Fax (616) 575-1219
Phone(616) 575-1212
Fax(616) 575-1219
Organization SubpartNo
Authorized OfficialJohn Michael KostaPresident · (616) 575-1212
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 21, 2008
✔ NPI 1124052337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
655 KENMOOR AVE SE, Grand Rapids, MI 49546
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Other Names 1

Former Legal Business NameEar, Nose And Throat Center, P.c.

Other Identifiers 1

Medicare PIN0P58750MI

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)

Grand Rapids Ear Nose & Throat Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Grand Rapids Ear Nose & Throat Center PLLC, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Qualified Audiologist7
Otolaryngology3

Clinicians, nearest first (10)

Mark Winkle, M.D.
Otolaryngology
NPI 1457379240
655 KENMOOR AVE SE SUITE A
Grand Rapids, MI 49546
(616) 575-1212
✔ PECOS✔ Accepts Medicare0.2 mi
Robert Daniels, M.D.
Otolaryngology
NPI 1386635969
4880 CASCADE RD SE
Grand Rapids, MI 49546
(616) 954-9300
✔ PECOS✔ Accepts Medicare0.8 mi
Darryl Elzinga, M.D.
Otolaryngology
NPI 1275524951
4880 CASCADE RD SE
Grand Rapids, MI 49546
(616) 954-9300
✔ PECOS✔ Accepts Medicare0.8 mi
Megan Gustavson, AU.D
Qualified Audiologist
NPI 1073143210
6140 28TH ST SE STE 205
Grand Rapids, MI 49546
(616) 988-4327
✔ Accepts Medicare3.4 mi
Nora Lignell, M.A,, CCC-A
Qualified Audiologist
NPI 1326065756
1425 MICHIGAN ST NE STE A
Grand Rapids, MI 49503
(616) 459-4514
✔ Accepts Medicare3.9 mi
Tamara Thelen, AU.D., CCC-A
Qualified Audiologist
NPI 1902927007
100 MICHIGAN ST NE
Grand Rapids, MI 49503
(616) 391-2862
✔ Accepts Medicare5.3 mi
Danielle Northrup, AUD
Qualified Audiologist
NPI 1639783269
1555 44TH ST SW
Wyoming, MI 49509
(616) 249-8000
✔ Accepts Medicare8.3 mi
Carol Byrne, AU.D.
Qualified Audiologist
NPI 1508968157
8120 AMELIA DR
Jenison, MI 49428
(616) 662-0647
✔ Accepts Medicare14 mi
Grace Greene, AUD
Qualified Audiologist
NPI 1710407044
3100 N WELLNESS DR
Holland, MI 49424
(616) 994-2770
28 mi
Jessica Bruinius, M.S.
Qualified Audiologist
NPI 1609019330
1179 EAST PARIS AVE SE #100 COMPREHENSIVE EAR, NOSE AND THROAT, P.C.
Grand Rapids Township, MI 49546
(616) 942-0380
✔ Accepts Medicare

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 Grand Rapids Ear Nose & Throat Center PLLC's NPI number?

The NPI number for Grand Rapids Ear Nose & Throat Center PLLC is 1124052337. It was assigned to this organization in the NPPES registry on July 11, 2006. The provider was formerly known as Ear, Nose And Throat Center, P.C..

Where is Grand Rapids Ear Nose & Throat Center PLLC located?

Grand Rapids Ear Nose & Throat Center PLLC is located at 655 Kenmoor Ave SE Suite A, Grand Rapids, MI 49546. The listed phone number is (616) 575-1212.

What is Grand Rapids Ear Nose & Throat Center PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Grand Rapids Ear Nose & Throat Center PLLC enrolled in Medicare?

Yes. Grand Rapids Ear Nose & Throat Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grand Rapids Ear Nose & Throat Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Grand Rapids Ear Nose & Throat Center PLLC. 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. The largest specialties are Qualified Audiologist (7) and Otolaryngology (3). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Grand Rapids Ear Nose & Throat Center PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Grand Rapids Ear Nose & Throat Center PLLC 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 Grand Rapids Ear Nose & Throat Center PLLC was last updated on July 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.