GRAND RAPIDS SURGICAL ASSOCIATES, PLLC
NPI 1538521083
Surgery in Wyoming, MI

Q: What is Grand Rapids Surgical Associates, PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since March 23, 2016

1009 44TH ST SW, STE 101, WYOMING, MI 49509(616) 828-4622(616) 635-2552 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2016, Mar 23, 2016 (2 updates tracked since 2016).

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About Grand Rapids Surgical Associates, Pllc NPPES

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

GRAND RAPIDS SURGICAL ASSOCIATES, PLLC (NPI 1538521083) is a healthcare organization registered as a surgery in Wyoming, Michigan and active in the NPI registry since March 2016. The organization lists Kerent Dominique Pihl, Surgeon/founder, as its authorized official.

NPPES Registry Identity

NPI1538521083

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameGRAND RAPIDS SURGICAL ASSOCIATES, PLLC

Location Address1009 44TH ST SW, STE 101Wyoming, MI 49509-4480

Mailing Address1009 44th St Sw, Ste 101Wyoming, MI 49509-4480 · (616) 828-4622 · Fax (616) 635-2552

Phone(616) 828-4622

Fax(616) 635-2552

Organization SubpartNo

Authorized OfficialKerent Dominique PihlSurgeon/founder · (616) 634-0936

Enumeration DateMarch 23, 2016

Last NPPES UpdateJuly 6, 20162 updates tracked since enumeration

✔ NPI 1538521083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · 5101019176

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1009 44TH ST SW, Wyoming, MI 49509

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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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Grand Rapids Surgical Associates, Pllc 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 Grand Rapids Surgical Associates, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kerent Pihl, D.O.

General Surgery

NPI 1902104029

1009 44TH ST SW STE 101
Wyoming, MI 49509

(616) 828-4622

✔ 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 Grand Rapids Surgical Associates, PLLC's NPI number?

The NPI number for Grand Rapids Surgical Associates, PLLC is 1538521083. It was assigned to this organization in the NPPES registry on March 23, 2016.

Where is Grand Rapids Surgical Associates, PLLC located?

Grand Rapids Surgical Associates, PLLC is located at 1009 44th St SW Ste 101, Wyoming, MI 49509. The listed phone number is (616) 828-4622.

What is Grand Rapids Surgical Associates, PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Grand Rapids Surgical Associates, PLLC enrolled in Medicare?

Yes. Grand Rapids Surgical Associates, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grand Rapids Surgical Associates, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Grand Rapids Surgical Associates, PLLC. 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 Grand Rapids Surgical Associates, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Grand Rapids Surgical Associates, PLLC 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 Grand Rapids Surgical Associates, PLLC was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.