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MYMICHIGAN MEDICAL GROUP
NPI 1477503852
Obstetrics & Gynecology in Midland, MI

Active since May 10, 2006CLIA 23D0910556 · Waiver
4401 N CAMPUS RDG, MIDLAND, MI 48640(989) 837-9400(989) 837-9420 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 15, 2026, Sep 27, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Mymichigan Medical Group NPPES

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

MYMICHIGAN MEDICAL GROUP (NPI 1477503852) is a healthcare organization registered as an obstetrics & gynecology in Midland, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Sarah James, Manager, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1477503852
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMYMICHIGAN MEDICAL GROUP
Location Address4401 N CAMPUS RDGMidland, MI 48640-6112
Mailing Address4000 Wellness DrMidland, MI 48670-2000 · (844) 832-1956 · Fax (989) 633-5241
Phone(989) 837-9400
Fax(989) 837-9420
Organization SubpartNo
Authorized OfficialSarah JamesManager, Provider Enrollment · (989) 701-4734
Enumeration DateMay 10, 2006
Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1477503852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4401 N CAMPUS RDG, Midland, MI 48640
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Mymichigan Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

197

Medicare enrollment records show 197 clinicians reassign Medicare billing to Mymichigan Medical Group, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 63 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Internal Medicine62
Nurse Practitioner55
Family Practice36
Hospitalist15
Clinical Social Worker11
Emergency Medicine4
Podiatry3
Critical Care (Intensivists)2
8 other specialties9

Nearest to this location (20)

See all 197
Paul Berg, MD
Family Practice
NPI 1740377688
4401 CAMPUS RIDGE DR STE 2100
Midland, MI 48640
(989) 837-9300
✔ PECOS✔ Accepts MedicareSame address
Jessica Graczyk
Clinical Social Worker
NPI 1013560820
4401 CAMPUS RIDGE DR
Midland, MI 48640
(989) 837-9250
✔ PECOS✔ Accepts MedicareSame address
Jack Pinney, MD
Sports Medicine
NPI 1982617247
4401 N CAMPUS RIDGE DR SUITE C2000
Midland, MI 48640
(989) 837-9350
✔ PECOS✔ Accepts MedicareSame address
Fawaz Alsmaan, MD
Internal Medicine
NPI 1275846230
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.1 mi
Damilola Babalola
Internal Medicine
NPI 1740691286
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.1 mi
Ghazwan Jabri
Internal Medicine
NPI 1194115196
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.1 mi
Steven Laporte
Nurse Practitioner
NPI 1952793622
4201 CAMPUS RIDGE DRIVE
Midland, MI 48640
(989) 488-5450
✔ PECOS✔ Accepts Medicare0.1 mi
Sandeep Yalamanchi, MD
Family Practice
NPI 1164870788
4611 N CAMPUS RIDGE DR
Midland, MI 48640
(989) 839-3500
✔ PECOS✔ Accepts Medicare0.1 mi
Travis Taylor, DO
Emergency Medicine
NPI 1437266582
4300 CAMPUS RIDG
Midland, MI 48640
(989) 839-1411
✔ PECOS✔ Accepts Medicare0.2 mi
Ishani Ali, MD
Internal Medicine
NPI 1568485795
4100 CAMPUS RIDGE DR
Midland, MI 48640
(989) 488-5007
✔ PECOS✔ Accepts Medicare0.2 mi
Angela Steih, FNP-C
Nurse Practitioner
NPI 1992570162
4300 CAMPUS RIDGE DR
Midland, MI 48640
(989) 839-1411
✔ PECOS✔ Accepts Medicare0.2 mi
Maduabuchi Okoro, M.D
Family Practice
NPI 1447556436
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.2 mi
Amer Bleibel
Hospitalist
NPI 1851772388
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.2 mi
Kelly Bond, FNP
Nurse Practitioner
NPI 1114641164
4000 WELLNESS DR
Midland, MI 48670
(989) 839-3000
✔ PECOS✔ Accepts Medicare0.2 mi
Charles Carpenter, NP
Nurse Practitioner
NPI 1497085963
4000 WELLNESS DR
Midland, MI 48670
(844) 832-1956
✔ PECOS✔ Accepts Medicare0.2 mi
Satyendra Dhar, M.D
Family Practice
NPI 1891019444
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.2 mi
Hernan Maldonado, MD
Emergency Medicine
NPI 1306043773
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.2 mi
John Mcroberts, DO
Hospitalist
NPI 1194205773
4000 WELLNESS DR
Midland, MI 48670
(989) 839-1644
✔ PECOS✔ Accepts Medicare0.2 mi
Gayle Byker, MD
Hospice/Palliative Care
NPI 1881897866
3007 N SAGINAW RD
Midland, MI 48640
(989) 633-1400
✔ PECOS✔ Accepts Medicare0.3 mi
Amarish Potnis, MD
Geriatric Medicine
NPI 1962440867
3007 N SAGINAW RD
Midland, MI 48640
(989) 633-1400
✔ PECOS✔ Accepts Medicare0.3 mi
See all 197 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0910556

Mymichigan Medical Group Obstetrics And Gynecology · Midland, MI
Active · expires Dec 22, 2027
CLIA Number23D0910556
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorNatalie L. Kroll
Laboratory Phone(989) 837-9400
Laboratory LocationMymichigan Medical Group Obstetrics And Gynecology4401 Campus Ridge Drive Suite Ll0110, Midland, MI 48640
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mymichigan Medical Group's NPI number?

The NPI number for Mymichigan Medical Group is 1477503852. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Mymichigan Medical Group located?

Mymichigan Medical Group is located at 4401 N Campus Rdg, Midland, MI 48640. The listed phone number is (989) 837-9400.

What is Mymichigan Medical Group's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mymichigan Medical Group enrolled in Medicare?

Yes. Mymichigan Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mymichigan Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 197 clinicians in 16 Medicare specialties reassign their Medicare billing to Mymichigan Medical Group. 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. The largest specialties are Internal Medicine (62), Nurse Practitioner (55) and Family Practice (36). Of these, 3 practice at this address and 63 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mymichigan Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0910556) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mymichigan Medical Group was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.