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KEVIN J. PIEBENGA D.P.M. P.C.
NPI 1215293550
Podiatrist - Foot Surgery in Hudsonville, MI

Active since April 11, 2012
3330 CENTRAL BOULEVARD, HUDSONVILLE, MI 49426(616) 669-7525(616) 669-9952 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin J. Piebenga D.p.m. P.c. NPPES

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

KEVIN J. PIEBENGA D.P.M. P.C. (NPI 1215293550) is a healthcare organization registered as a foot surgery in Hudsonville, Michigan and active in the NPI registry since April 2012. The organization lists Kevin Piebenga, President, as its authorized official.

NPPES Registry Identity

NPI1215293550
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameKEVIN J. PIEBENGA D.P.M. P.C.
Location Address3330 CENTRAL BOULEVARDHudsonville, MI 49426-4114
Mailing Address3330 Central BlvdHudsonville, MI 49426-1441 · (616) 669-7525 · Fax (616) 669-9952
Phone(616) 669-7525
Fax(616) 669-9952
Organization SubpartNo
Authorized OfficialKevin PiebengaPresident · 61666697525
Enumeration DateApril 11, 2012
✔ NPI 1215293550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
3330 CENTRAL BOULEVARD, Hudsonville, MI 49426
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Other Identifiers 4

Medicare NSC0423670001
Medicare UPINT96808
Medicaid2693413MI
Medicare PIN5705467

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin J. Piebenga D.p.m. P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kevin J. Piebenga D.P.M. P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Piebenga, D.P.M., P.C.
Podiatry
NPI 1629034178
3330 CENTRAL BLVD
Hudsonville, MI 49426
(616) 669-7525
✔ PECOS✔ Accepts MedicareSame address

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 Kevin J. Piebenga D.P.M. P.C.'s NPI number?

The NPI number for Kevin J. Piebenga D.P.M. P.C. is 1215293550. It was assigned to this organization in the NPPES registry on April 11, 2012.

Where is Kevin J. Piebenga D.P.M. P.C. located?

Kevin J. Piebenga D.P.M. P.C. is located at 3330 Central Boulevard, Hudsonville, MI 49426. The listed phone number is (616) 669-7525.

What is Kevin J. Piebenga D.P.M. P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Kevin J. Piebenga D.P.M. P.C. enrolled in Medicare?

Yes. Kevin J. Piebenga D.P.M. P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kevin J. Piebenga D.P.M. P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Kevin J. Piebenga D.P.M. P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kevin J. Piebenga D.P.M. P.C. was last updated on April 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.