MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
NPI 1558152306
Internal Medicine - Cardiovascular Disease in Petoskey, MI

NPI Status: Active since May 13, 2025

Contact Information

1619 ANDERSON RD
PETOSKEY, MI
ZIP 49770
Phone: (231) 417-6000
Fax: (231) 417-6005

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease

About MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Munson Healthcare Otsego Memorial Hospital, an internist established in Petoskey, Michigan operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1558152306 assigned on May 2025. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Bonnie Jean Kruszka (Coo Physician Network)

NPI
1558152306
Provider Name
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Entity Type
Organization
Location Address
1619 ANDERSON RD PETOSKEY, MI 49770
Location Phone
(231) 417-6000
Location Fax
(231) 417-6005
Mailing Address
1105 SIXTH ST TRAVERSE CITY, MI 49684
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2025
Last Update Date
05-13-2025
Code Navigator

An internist like Munson Healthcare Otsego Memorial Hospital is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BONNIE JEAN KRUSZKA

Authorized Official Title
COO PHYSICIAN NETWORK
Authorized Official Phone
(231) 935-4995

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558152306, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 2 + 5 + 4 + 3 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1558152306.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Family Medicine
1619 ANDERSON RD
PETOSKEY, MI 49770
Clinic/Center (Rural Health)
1619 ANDERSON RD
PETOSKEY, MI 49770
Internal Medicine (Nephrology)
1619 ANDERSON RD
PETOSKEY, MI 49770
Plastic Surgery
1619 ANDERSON RD
PETOSKEY, MI 49770
Physician Assistant
1619 ANDERSON RD
PETOSKEY, MI 49770
Nurse Practitioner (Adult Health)
1619 ANDERSON RD
PETOSKEY, MI 49770
Urology
1619 ANDERSON RD
PETOSKEY, MI 49770
Internal Medicine
1619 ANDERSON RD
PETOSKEY, MI 49770

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558152306, enumerated as an "organization" on May 13, 2025.

The provider is located at 1619 ANDERSON RD PETOSKEY, MI 49770 and the phone number is (231) 417-6000.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.