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GENESIS CHIROPRACTIC PLLC
NPI 1619309218
Chiropractor in Macomb, MI

Active since August 06, 2013
21880 23 MILE RD, MACOMB, MI 48042(586) 604-3253 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Genesis Chiropractic Pllc NPPES

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

GENESIS CHIROPRACTIC PLLC (NPI 1619309218) is a healthcare organization registered as a chiropractor in Macomb, Michigan and active in the NPI registry since August 2013. The organization lists Edwin Richard Kaput, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1619309218
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGENESIS CHIROPRACTIC PLLC
Location Address21880 23 MILE RDMacomb, MI 48042-4422
Mailing Address21880 23 Mile RdMacomb, MI 48042-4422 · (586) 604-3253
Phone(586) 604-3253
Organization SubpartNo
Authorized OfficialEdwin Richard KaputChiropractor · (586) 604-3253
Enumeration DateAugust 6, 2013
✔ NPI 1619309218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301009884
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
21880 23 MILE RD, Macomb, MI 48042
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC1861767238MI

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 Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20140222000135Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Genesis Chiropractic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Edwin Kaput, D.C.
Chiropractic
NPI 1861767238
5092 W VIENNA RD SUITE H
Clio, MI 48420
(586) 604-3253
✔ Accepts Medicare57 mi

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 Genesis Chiropractic PLLC's NPI number?

The NPI number for Genesis Chiropractic PLLC is 1619309218. It was assigned to this organization in the NPPES registry on August 6, 2013.

Where is Genesis Chiropractic PLLC located?

Genesis Chiropractic PLLC is located at 21880 23 Mile Rd, Macomb, MI 48042. The listed phone number is (586) 604-3253.

What is Genesis Chiropractic PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Genesis Chiropractic PLLC enrolled in Medicare?

Yes. Genesis Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

When is Genesis Chiropractic PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Genesis Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Genesis Chiropractic 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 Genesis Chiropractic PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Genesis Chiropractic 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 Genesis Chiropractic PLLC was last updated on August 6, 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.