Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BEACON KALAMAZOO INC
NPI 1265517783
Dietitian, Registered in Kalamazoo, MI

Q: What is Beacon Kalamazoo Inc's NPI number?

The NPI number for Beacon Kalamazoo Inc is 1265517783. It was assigned to this organization in the NPPES registry on October 25, 2006.

Q: What is Beacon Kalamazoo Inc's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since October 25, 2006

3025 GULL RD, KALAMAZOO, MI 49048(269) 552-2200 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, Jan 25, 2023, Mar 15, 2019 (3 updates tracked since 2019).

On this page

About Beacon Kalamazoo Inc NPPES

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

BEACON KALAMAZOO INC (NPI 1265517783) is a healthcare organization registered as a dietitian, registered in Kalamazoo, Michigan and active in the NPI registry since October 2006. The organization lists Irene Maffetone, Contract Manager, as its authorized official.

NPPES Registry Identity

NPI1265517783

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameBEACON KALAMAZOO INC

Location Address3025 GULL RDKalamazoo, MI 49048-1281

Mailing Address1717 Shaffer St Ste 2Kalamazoo, MI 49048-1623

Phone(269) 552-2200

Organization SubpartNo

Authorized OfficialIrene MaffetoneContract Manager · (574) 647-1040

Enumeration DateOctober 25, 2006

Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration

NPPES CertifiedOctober 13, 2026

✔ NPI 1265517783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

3025 GULL RD, Kalamazoo, MI 49048

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beacon Kalamazoo Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMichiganEnrollment IDO20060105000102Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Beacon Kalamazoo Inc, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Craig Greenberg, M.D.

Endocrinology

NPI 1326154329

1722 SHAFFER ST
Kalamazoo, MI 49048

(269) 226-8321

✔ PECOS✔ Accepts Medicare1.1 mi

Julie Tucker, FNP

Nurse Practitioner

NPI 1467824284

1722 SHAFFER ST STE 3
Kalamazoo, MI 49048

(269) 226-8295

✔ PECOS✔ Accepts Medicare1.1 mi

Jason Nicolai

Registered Dietitian or Nutrition Professional

NPI 1093898199

1521 GULL RD
Kalamazoo, MI 49048

(269) 226-5321

1.1 mi

Michael Valitutto, DO

Internal Medicine

NPI 1326074378

1717 SHAFFER ST STE 229
Kalamazoo, MI 49048

(269) 226-8321

✔ PECOS✔ Accepts Medicare1.1 mi

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 Beacon Kalamazoo Inc's NPI number?

The NPI number for Beacon Kalamazoo Inc is 1265517783. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Beacon Kalamazoo Inc located?

Beacon Kalamazoo Inc is located at 3025 Gull Rd, Kalamazoo, MI 49048. The listed phone number is (269) 552-2200.

What is Beacon Kalamazoo Inc's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Beacon Kalamazoo Inc enrolled in Medicare?

Yes. Beacon Kalamazoo Inc is registered in the Medicare PECOS enrollment system.

When is Beacon Kalamazoo Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Beacon Kalamazoo Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Beacon Kalamazoo Inc, in Endocrinology, Internal Medicine, Nurse Practitioner and Registered Dietitian or Nutrition Professional. 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. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Beacon Kalamazoo Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Beacon Kalamazoo Inc 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 Beacon Kalamazoo Inc was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.