LAKE MICHIGAN HAND CENTER, PC
NPI 1417067711
Surgery - Surgery of the Hand in Saint Joseph, MI

Q: What is Lake Michigan Hand Center, PC's NPI number?

The NPI number for Lake Michigan Hand Center, PC is 1417067711. It was assigned to this organization in the NPPES registry on August 30, 2006.

Q: What is Lake Michigan Hand Center, PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Active since August 30, 2006

3950 HOLLYWOOD RD, SUITE 220, SAINT JOSEPH, MI 49085(269) 429-4263(269) 429-4267 Get Directions Write a Review

NPPES record last updated: April 23, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lake Michigan Hand Center, Pc NPPES

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

LAKE MICHIGAN HAND CENTER, PC (NPI 1417067711) is a healthcare organization registered as a surgery of the hand in Saint Joseph, Michigan and active in the NPI registry since August 2006. The organization lists Michael E. Berry, Owner, as its authorized official.

NPPES Registry Identity

NPI1417067711

Entity TypeOrganization

Primary Taxonomy2086S0105X

Legal Business NameLAKE MICHIGAN HAND CENTER, PC

Location Address3950 HOLLYWOOD RD, SUITE 220Saint Joseph, MI 49085-9151

Mailing Address3950 Hollywood Rd, Suite 220Saint Joseph, MI 49085-9151 · (269) 429-4263 · Fax (269) 429-4267

Phone(269) 429-4263

Fax(269) 429-4267

Organization SubpartNo

Authorized OfficialMichael E. BerryOwner · (269) 429-4263

Enumeration DateAugust 30, 2006

Last NPPES UpdateApril 23, 2009

✔ NPI 1417067711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians

Taxonomy Code2086S0105X

Definition

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

3950 HOLLYWOOD RD, Saint Joseph, MI 49085

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Other Identifiers 2

Medicare NSC6169700001MI

Medicare PIN0P35250MI

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Lake Michigan Hand Center, Pc 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 Lake Michigan Hand Center, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Berry, M.D.

Hand Surgery

NPI 1669496600

3950 HOLLYWOOD RD SUITE 220
Saint Joseph, MI 49085

(269) 429-4263

✔ 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 Lake Michigan Hand Center, PC's NPI number?

The NPI number for Lake Michigan Hand Center, PC is 1417067711. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Lake Michigan Hand Center, PC located?

Lake Michigan Hand Center, PC is located at 3950 Hollywood Rd Suite 220, Saint Joseph, MI 49085. The listed phone number is (269) 429-4263.

What is Lake Michigan Hand Center, PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is Lake Michigan Hand Center, PC enrolled in Medicare?

Yes. Lake Michigan Hand Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Michigan Hand Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hand Surgery) reassigns their Medicare billing to Lake Michigan Hand Center, PC. 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.

What insurance does Lake Michigan Hand Center, PC 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 Lake Michigan Hand Center, PC 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 Lake Michigan Hand Center, PC was last updated on April 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.