DR. BOBGA S FOMUNUNG MD
NPI 1700899010
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI

Q: What is Bobga Fomunung's NPI number?

The NPI number for Bobga Fomunung is 1700899010. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Bobga Fomunung's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Bobga Fomunung was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment

1939 DIVISION AVE S, GRAND RAPIDS, MI 49507(616) 247-3815(616) 245-0450 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Bobga S Fomunung Md NPPES

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

DR. BOBGA S FOMUNUNG MD (NPI 1700899010) is an individual psychiatry provider in Grand Rapids, Michigan, licensed in Michigan (5315017245) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Holland Community Hospital, and maintains a secondary practice location in Holland.

NPPES Registry Identity

NPI1700899010

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. BOBGA S FOMUNUNGCredential: MD

Location Address1939 DIVISION AVE SGrand Rapids, MI 49507-2459

Mailing Address1281 Innisbrook CtHolland, MI 49423-5502 · (616) 834-7279 · Fax (616) 245-0450

Phone(616) 247-3815

Fax(616) 245-0450

Sole ProprietorYes

Medical School CMSMedical College Of WisconsinGraduated 2003

Enumeration DateAugust 15, 2006

Last NPPES UpdateJanuary 26, 2026

NPPES CertifiedJanuary 26, 2026

✔ NPI 1700899010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MI · 5315017245

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1939 DIVISION AVE S, Grand Rapids, MI 49507

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Secondary Practice Location 1

Location 11281 Innisbrook CtHolland, MI 49423-5502 · Phone (616) 834-7279

Other Identifiers 1

Medicaid1556483MI

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, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bobga S Fomunung Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153387667

PECOS Enrollment IDI20041207000420

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

29 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holland Community Hospital

Acute Care Hospitals · Holland, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230072

Location602 Michigan AveHolland, MI 49423 · Ottawa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49507 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

GRACE ZEPPI

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