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

TRAVERSE BAY INTERNAL MEDICINE PC
NPI 1487023933
Internal Medicine in Traverse City, MI

Active since September 15, 2015
3963 W ROYAL DR, TRAVERSE CITY, MI 49684(231) 947-0673(801) 740-2847 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, Nov 16, 2015 (2 updates tracked since 2015).

About Traverse Bay Internal Medicine Pc NPPES

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

TRAVERSE BAY INTERNAL MEDICINE PC (NPI 1487023933) is a healthcare organization registered as an internal medicine in Traverse City, Michigan and active in the NPI registry since September 2015. The organization lists Angela Pohl, Owner, as its authorized official.

NPPES Registry Identity

NPI1487023933
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTRAVERSE BAY INTERNAL MEDICINE PC
Location Address3963 W ROYAL DRTraverse City, MI 49684-9200
Mailing Address3963 W Royal DrTraverse City, MI 49684-9200 · (231) 947-0673 · Fax (801) 740-2847
Fax(801) 740-2847
Organization SubpartNo
Authorized OfficialAngela PohlOwner · (813) 342-2220
Enumeration DateSeptember 15, 2015
Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1487023933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3963 W ROYAL DR, Traverse City, MI 49684

Accepted 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)

Traverse Bay Internal Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Traverse Bay Internal Medicine PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Internal Medicine
NPI 1629207741
3963 W ROYAL DR
Traverse City, MI 49684
(231) 486-5516
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1194779843
224 CIRCLE DRIVE
Traverse City, MI 49684
(231) 932-4903
✔ PECOS✔ Accepts Medicare0.4 mi
Obstetrics/Gynecology
NPI 1699068148
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1407038151
10223 E CHERRY BEND RD
Traverse City, MI 49684
(231) 929-7933
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1255853776
14700 E OLD US HIGHWAY 12
Chelsea, MI 48118
(734) 539-5000
✔ PECOS✔ Accepts Medicare188 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 Traverse Bay Internal Medicine PC's NPI number?

The NPI number for Traverse Bay Internal Medicine PC is 1487023933. It was assigned to this organization in the NPPES registry on September 15, 2015.

Where is Traverse Bay Internal Medicine PC located?

Traverse Bay Internal Medicine PC is located at 3963 W Royal Dr, Traverse City, MI 49684. The listed phone number is (231) 947-0673.

What is Traverse Bay Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Traverse Bay Internal Medicine PC enrolled in Medicare?

Yes. Traverse Bay Internal Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Traverse Bay Internal Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Traverse Bay Internal Medicine PC, in Internal Medicine, Nurse Practitioner and Obstetrics/Gynecology. 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, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Traverse Bay Internal Medicine PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Traverse Bay Internal Medicine 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 Traverse Bay Internal Medicine PC 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.