CENTRAL MICHIGAN UNIVERSITY
NPI 1659711760
Pediatrics in Mt Pleasant, MI

Active since July 03, 2013
1201 SOUTH DR, STE. 341, MT PLEASANT, MI 48858(989) 779-5270(989) 779-5279 Get Directions Write a Review

NPPES record last updated: July 3, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Central Michigan University NPPES

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

CENTRAL MICHIGAN UNIVERSITY (NPI 1659711760) is a healthcare organization registered as a pediatrics in Mt Pleasant, Michigan and active in the NPI registry since July 2013. The organization lists Kelly J Gronda, Credentialing Officer, as its authorized official.

NPPES Registry Identity

NPI1659711760
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCENTRAL MICHIGAN UNIVERSITY
Location Address1201 SOUTH DR, STE. 341Mt Pleasant, MI 48858-3256
Mailing Address1201 South Dr, Ste. 341Mt Pleasant, MI 48858-3256 · (989) 779-5270 · Fax (989) 779-5279
Fax(989) 779-5279
Organization SubpartNo
Authorized OfficialKelly J GrondaCredentialing Officer · (989) 583-7415
Enumeration DateJuly 3, 2013
✔ NPI 1659711760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1201 SOUTH DR, Mt Pleasant, MI 48858

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Michigan University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Central Michigan University, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Qualified Audiologist11
Physical Therapist in Private Practice4
Nurse Practitioner2
Family Practice1
Pediatric Medicine1
Psychiatry1

Clinicians, nearest first (20)

Psychiatry
NPI 1568734648
600 E PRESTON STREET FOUST HALL 249
Mount Pleasant, MI 48859
(989) 774-1914
✔ PECOS0.7 mi
Physical Therapist in Private Practice
NPI 1639241680
1101 HEALTH PROFESSIONS BLDG
Mt Pleasant, MI 48859
(989) 774-3904
✔ Accepts Medicare0.7 mi
Physical Therapist in Private Practice
NPI 1720529340
1101 HEALTH PROFESSIONS BLDG
Mt Pleasant, MI 48859
(989) 774-3904
0.7 mi
Qualified Audiologist
NPI 1942365747
1101 HEALTH PROFESSIONS BLDG
Mt Pleasant, MI 48859
(989) 774-3904
✔ Accepts Medicare0.7 mi
Qualified Audiologist
NPI 1700084142
1101 HEALTH PROFESSIONS BLDG
Mt Pleasant, MI 48859
(989) 774-3904
✔ Accepts Medicare0.7 mi
Qualified Audiologist
NPI 1174569503
1101 HEALTH PROFESSIONS BUILDING
Mt Pleasant, MI 48859
(989) 774-1322
0.7 mi
Qualified Audiologist
NPI 1821367509
1101 HEALTH PROFFESSIONS BLDG
Mt Pleasant, MI 48859
(989) 774-3904
✔ Accepts Medicare0.7 mi
Family Practice
NPI 1730102682
CENTRAL MICHIGAN UNIVERSITY HEALTH SERVICES 202 FOUST HALL
Mt Pleasant, MI 48859
(989) 774-6581
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1447504105
202 FOUST HALL
Mt Pleasant, MI 48859
(989) 774-7585
✔ PECOS✔ Accepts Medicare1.4 mi
Qualified Audiologist
NPI 1275986689
1101 HEALTH PROFESSIONS BLD
Mt Pleasant, MI 48859
(989) 774-3904
✔ Accepts Medicare4.9 mi
Qualified Audiologist
NPI 1285659326
1101 HEALTH PROFESSIONS BLDG
Mt Pleasant, MI 48859
(989) 774-3904
✔ Accepts Medicare4.9 mi
Qualified Audiologist
NPI 1861976797
1101 HEALTH PROFESSIONS
Mount Pleasant, MI 48859
(989) 774-3904
✔ Accepts Medicare4.9 mi
Qualified Audiologist
NPI 1538757828
1101 HEALTH PROFESSION
Mt Pleasant, MI 48859
(989) 774-3904
✔ Accepts Medicare4.9 mi
Physical Therapist in Private Practice
NPI 1164912929
602 BEECH ST
Clare, MI 48617
(989) 802-5167
✔ Accepts Medicare15 mi
Qualified Audiologist
NPI 1740770775
801 JOE MANN BLVD STE H
Midland, MI 48642
(989) 794-5404
✔ Accepts Medicare27 mi
Qualified Audiologist
NPI 1720015738
112 W WACKERLY ST STE 1
Midland, MI 48640
(989) 486-1457
27 mi
Qualified Audiologist
NPI 1710275524
2650 MCCARTY RD
Saginaw, MI 48603
(989) 793-2701
41 mi
Nurse Practitioner
NPI 1356356216
45300 CHERRY HILL RD
Canton, MI 48187
(734) 981-3968
✔ PECOS110 mi
Pediatric Medicine
NPI 1760785562
3901 BEAUBIEN ST
Detroit, MI 48201
(313) 745-3000
✔ PECOS122 mi
Physical Therapist in Private Practice
NPI 1508207549
3921 E BASELINE RD STE 105
Gilbert, AZ 85234
(480) 503-2373
✔ Accepts Medicare1,614 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 Central Michigan University's NPI number?

The NPI number for Central Michigan University is 1659711760. It was assigned to this organization in the NPPES registry on July 3, 2013.

Where is Central Michigan University located?

Central Michigan University is located at 1201 South Dr Ste. 341, Mt Pleasant, MI 48858. The listed phone number is (989) 779-5270.

What is Central Michigan University's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Central Michigan University enrolled in Medicare?

Yes. Central Michigan University is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Michigan University?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 6 Medicare specialties reassign their Medicare billing to Central Michigan University. 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 Qualified Audiologist (11), Physical Therapist in Private Practice (4) and Nurse Practitioner (2). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Central Michigan University was last updated on July 3, 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.