KENTWOOD FAMILY PHYSICIANS PC
NPI 1598845794
Family Medicine in Grand Rapids, MI

Active since October 16, 2006CLIA 23D0705261 · Microscopy
5070 CASCADE RD SE, SUITE 250, GRAND RAPIDS, MI 49546(616) 281-9066(616) 281-0539 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kentwood Family Physicians Pc NPPES

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

KENTWOOD FAMILY PHYSICIANS PC (NPI 1598845794) is a healthcare organization registered as a family medicine in Grand Rapids, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through May 15, 2028 and lists Bruce M Baker, President, as its authorized official.

NPPES Registry Identity

NPI1598845794
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKENTWOOD FAMILY PHYSICIANS PC
Location Address5070 CASCADE RD SE, SUITE 250Grand Rapids, MI 49546-8422
Mailing Address5070 Cascade Rd Se, Suite 250Grand Rapids, MI 49546-8422 · (616) 281-9066 · Fax (616) 281-0539
Fax(616) 281-0539
Organization SubpartNo
Authorized OfficialBruce M BakerPresident · (616) 281-9066
Enumeration DateOctober 16, 2006
Last NPPES UpdateNovember 20, 2007
NPI 1598845794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5070 CASCADE RD SE, Grand Rapids, MI 49546

Other Identifiers 1

Medicare ID-Type Unspecified0P27140MI · Medicare Group Prov Numb

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

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) 23D0705261

Kentwood Family Physicians PC · Grand Rapids, MI
Active · expires May 15, 2028
CLIA Number23D0705261
Laboratory TypePhysician Office
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorSusan L. Baker Do
Laboratory Phone(616) 281-9066
Laboratory LocationKentwood Family Physicians PC5070 Cascade Road SE Suite 250, Grand Rapids, MI 49546
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
5070 CASCADE RD SE, SUITE 250
GRAND RAPIDS, MI 49546
Family Medicine
5070 CASCADE RD SE, SUITE 250
GRAND RAPIDS, MI 49546
Orthopaedic Surgery
5070 CASCADE RD SE, SUITE 202
GRAND RAPIDS, MI 49546
Family Medicine
5070 CASCADE RD SE, SUITE 250
GRAND RAPIDS, MI 49546

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 Kentwood Family Physicians PC's NPI number?

The NPI number for Kentwood Family Physicians PC is 1598845794. It was assigned to this organization in the NPPES registry on October 16, 2006.

Where is Kentwood Family Physicians PC located?

Kentwood Family Physicians PC is located at 5070 Cascade Rd SE Suite 250, Grand Rapids, MI 49546. The listed phone number is (616) 281-9066.

What is Kentwood Family Physicians PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Kentwood Family Physicians PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0705261) is associated with this NPI, valid through May 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kentwood Family Physicians PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kentwood Family Physicians 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 Kentwood Family Physicians PC was last updated on November 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.