Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

REDA E GIRGIS MD
NPI 1336193648
Internal Medicine - Pulmonary Disease in Grand Rapids, MI

Active since May 20, 2006PECOS Enrolled
100/100
CMS Quality Rating
4100 LAKE DR SE STE 200, GRAND RAPIDS, MI 49546(616) 267-8244(616) 267-7272 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Aug 19, 2024, Mar 4, 2021 and 2 more (5 updates tracked since 2016).

About Reda E Girgis Md NPPES

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

REDA E GIRGIS MD (NPI 1336193648) is an individual pulmonary disease provider in Grand Rapids, Michigan, licensed in Michigan (4301053033) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1336193648
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameREDA E GIRGISCredential: MD
Location Address4100 LAKE DR SE STE 200Grand Rapids, MI 49546-8292
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Fax(616) 267-7272
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 20, 2006
Last NPPES UpdateJuly 13, 20265 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1336193648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MI · 4301053033
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 4301053033 (MI)
4100 LAKE DR SE STE 200, Grand Rapids, MI 49546

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Reda E Girgis Md 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 ID4789710286
PECOS Enrollment IDI20120626000177
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services56 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
54 services17 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services25 patients
Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
19 services18 patients
Biopsy of lobe of lung using an endoscope, 1 lobe 31628
A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.
16 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$4.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers24 claims24 services$68.11 avg. paid by Medicare
Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers15 claims1,065 services$0.96 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
2 suppliers20 claims5,884 services$1.18 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers47 claims4,765 services$0.34 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers19 claims4,215 services$0.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Nurse Practitioner (Adult Health)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Internal Medicine (Critical Care Medicine)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Internal Medicine (Critical Care Medicine)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Nurse Practitioner (Gerontology)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Internal Medicine (Sleep Medicine)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Physician Assistant
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Pharmacist
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546

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 Reda Girgis's NPI number?

The NPI number for Reda Girgis is 1336193648. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Reda Girgis located?

Reda Girgis practices at 4100 Lake Dr SE Ste 200, Grand Rapids, MI 49546. The listed phone number is (616) 267-8244.

What is Reda Girgis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Reda Girgis enrolled in Medicare?

Yes. Reda Girgis 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.

What insurance does Reda Girgis 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 2 other insurers list Reda Girgis 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 Reda Girgis affiliated with any hospitals?

According to CMS data, Reda Girgis is affiliated with Lakeland Hospital, St Joseph, Spectrum Health United Hospital, Spectrum Health, Munson Medical Center and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for Reda Girgis was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.