AGE MANAGEMENT OF WEST MICHIGAN PC
NPI 1558700625
Internal Medicine in Grand Rapids, MI
About Age Management Of West Michigan Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGE MANAGEMENT OF WEST MICHIGAN PC (NPI 1558700625) is a healthcare organization registered as an internal medicine in Grand Rapids, Michigan and active in the NPI registry since June 2013. The organization lists Piyush Bhatnagar, Clinical Medical Director/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Age Management Of West Michigan Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Age Management Of West Michigan PC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 30Grand Rapids, MI 49508
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 for Provider-Performed Microscopy Procedures (PPMP) 23D1071912
Age Management Of West Michigan · Grand Rapids, MIFrequently 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 Age Management Of West Michigan PC's NPI number?
The NPI number for Age Management Of West Michigan PC is 1558700625. It was assigned to this organization in the NPPES registry on June 21, 2013.
Where is Age Management Of West Michigan PC located?
Age Management Of West Michigan PC is located at 1959 E Paris Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 808-2695.
What is Age Management Of West Michigan PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Age Management Of West Michigan PC enrolled in Medicare?
Yes. Age Management Of West Michigan PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Age Management Of West Michigan PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 3 Medicare specialties reassign their Medicare billing to Age Management Of West Michigan 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. The largest specialties are Nurse Practitioner (21), Internal Medicine (8) and General Practice (1). Of these, 9 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Age Management Of West Michigan 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 Age Management Of West Michigan 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 Age Management Of West Michigan PC was last updated on June 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Age Management Of West Michigan Pc · NPI 1558700625
Internal Medicine organization in Grand Rapids, Michigan. Organization record, active in the CMS NPPES registry since June 21, 2013.
## Identity
- **NPI:** 1558700625 (Entity type: Organization)
- **Enumerated:** June 21, 2013
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Piyush Bhatnagar, CLINICAL MEDICAL DIRECTOR/OWNER
## Practice location
- **Address:** 1959 E PARIS AVE SE, Grand Rapids, MI 49546-6272
- **Phone:** (616) 808-2695
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 30 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Internal Medicine (8), General Practice (1); 9 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1558700625/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 21, 2013
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1558700625) · Data from the CMS NPPES public registry.