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

Q: 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.

Q: What is Kentwood Family Physicians PC's specialty?

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

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: October 25, 2026.

On this page

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

Phone(616) 281-9066

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

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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

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)

Kentwood Family Physicians Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kentwood Family Physicians PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Bruce Baker, D.O.

Family Practice

NPI 1467532648

5070 CASCADE RD SE SUITE 250
Grand Rapids, MI 49546

(616) 281-9066

✔ PECOS✔ Accepts MedicareSame address

Susan Baker, D.O.

Family Practice

NPI 1205916475

5070 CASCADE RD SE SUITE 250
Grand Rapids, MI 49546

(616) 281-9066

✔ 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.

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.

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.

Is Kentwood Family Physicians PC enrolled in Medicare?

Yes. Kentwood Family Physicians PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kentwood Family Physicians PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Kentwood Family Physicians 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.