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DR. STANLEY CHARLES SEDORE M.D., PH.D.
NPI 1306163092
Pediatrics - Pediatric Cardiology in Grand Rapids, MI

Active since April 21, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
25 MICHIGAN ST NE STE 4200, GRAND RAPIDS, MI 49503(616) 267-9150(616) 267-1408 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2021, Dec 29, 2020, Aug 21, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Stanley Charles Sedore M.d., Ph.d. NPPES

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

DR. STANLEY CHARLES SEDORE M.D., PH.D. (NPI 1306163092) is an individual pediatric cardiology provider in Grand Rapids, Michigan, licensed in Michigan (4301112035) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2010).

NPPES Registry Identity

NPI1306163092
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. STANLEY CHARLES SEDORECredential: M.D., PH.D.
Location Address25 MICHIGAN ST NE STE 4200Grand Rapids, MI 49503-2559
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 267-9150
Fax(616) 267-1408
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2010
Enumeration DateApril 21, 2010
Last NPPES UpdateFebruary 24, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
✔ NPI 1306163092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in MI · 4301112035
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
25 MICHIGAN ST NE STE 4200, Grand Rapids, MI 49503
Open in Google Maps ↗

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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stanley Charles Sedore M.d., Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193011450
PECOS Enrollment IDI20170706001597
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Stanley Sedore reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Primary Care Partners
Same address
Pediatric Endocrinology
35 MICHIGAN ST NE STE 1800
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1326599671 (616) 391-3933
Spectrum Health Hospitals
0.2 mi
Hospitalist
100 MICHIGAN ST NE, MC-907
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 405 clinicians in this Medicare group
NPI 1558407189 (616) 774-7377
Lakeland Medical Practices
74 mi
Internal Medicine
1234 NAPIER AVE
Saint Joseph, MI 49085
  • Reassigned Medicare billing, Michigan enrollment
  • 724 clinicians in this Medicare group
NPI 1538397120 (269) 428-5007
Munson Medical Center
119 mi
Gynecologic Oncology
1105 SIXTH ST
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 492 clinicians in this Medicare group
NPI 1013222587 (231) 935-5000

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE-GRACE ABINOJA RAYMUNDO M.D.
Pediatrics (Pediatric Cardiology)
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
KHIRA LAUREN BENSON CNP
Nurse Practitioner (Acute Care)
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
DR. LINDA BARBARA PAULIKS MD
Pediatrics (Pediatric Cardiology)
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
TERESA CAROLINA ZURITA MD
Pediatrics
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
JEAN ANN BALLWEG M.D.
Pediatrics (Pediatric Cardiology)
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
YASSER AL KHATIB MD
Pediatrics (Pediatric Cardiology)
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
JAMES MARTIN HAMMEL MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
SARAH BADRAN MD
Pediatrics (Pediatric Cardiology)
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150

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 Stanley Sedore's NPI number?

The NPI number for Stanley Sedore is 1306163092. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Where is Stanley Sedore located?

Stanley Sedore practices at 25 Michigan St NE Ste 4200, Grand Rapids, MI 49503. The listed phone number is (616) 267-9150.

What is Stanley Sedore's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Stanley Sedore enrolled in Medicare?

Yes. Stanley Sedore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stanley Sedore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stanley Sedore reassigns Medicare benefits to 4 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Spectrum Health Hospitals (Grand Rapids, MI), Lakeland Medical Practices (Saint Joseph, MI) and Munson Medical Center (Traverse City, MI). Each 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 Stanley Sedore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stanley Sedore 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 and 1 other insurer list Stanley Sedore 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.

Is Stanley Sedore affiliated with any hospitals?

According to CMS data, Stanley Sedore is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Stanley Sedore was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.