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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ASCENSION MEDICAL GROUP PROMED
NPI 1720009954
Internal Medicine in Kalamazoo, MI

Active since July 22, 2006CLIA 23D0376785 · Waiver
1717 SHAFFER ST, STE 124, KALAMAZOO, MI 49048(269) 344-5552 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2026, Jun 1, 2026, Dec 30, 2022 and 2 more (5 updates tracked since 2018).

About Ascension Medical Group Promed NPPES

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

ASCENSION MEDICAL GROUP PROMED (NPI 1720009954) is a healthcare organization registered as an internal medicine in Kalamazoo, Michigan and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 19, 2027, maintains 10 additional practice locations, and lists Irene Maffetone, Manager Contracting And Payor Relat, as its authorized official.

NPPES Registry Identity

NPI1720009954
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameASCENSION MEDICAL GROUP PROMED
Location Address1717 SHAFFER ST, STE 124Kalamazoo, MI 49048-1647
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-2043
Phone(269) 344-5552
Organization SubpartNo
Authorized OfficialIrene MaffetoneManager Contracting And Payor Relat · (574) 647-1040
Enumeration DateJuly 22, 2006
Last NPPES UpdateJuly 8, 20265 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1720009954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedUrologyTaxonomy 208800000X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1717 SHAFFER ST, Kalamazoo, MI 49048
Open in Google Maps ↗

Secondary Practice Locations 10

Location 12845 Capital Ave SWBattle Creek, MI 49015-4185 · Phone (269) 633-2061 · Fax (269) 633-2062
Location 2360 E Chicago St Ste 103Coldwater, MI 49036-2086 · Phone (269) 633-2063 · Fax (269) 633-2065
Location 3711 S Health ParkwayThree Rivers, MI 49093-9387 · Phone (269) 633-2070 · Fax (269) 633-2074
Location 4570 Linn St Ste 1Allegan, MI 49010-1572 · Phone (269) 895-0613 · Fax (269) 895-0614
Location 5601 S Health ParkwayThree Rivers, MI 49093-8351 · Phone (269) 633-2075 · Fax (269) 633-2076
Location 61701 Gull RdKalamazoo, MI 49048-1609 · Phone (269) 633-2510 · Fax (269) 633-2511
Location 71815 Henson AveKalamazoo, MI 49048-1510 · Phone (269) 633-2513 · Fax (269) 633-2514
Location 8730 Airway DrAllegan, MI 49010-8507 · Phone (269) 895-0358 · Fax (269) 895-0359
Location 9104 S Lakeview AveSturgis, MI 49091-1947 · Phone (269) 633-2068 · Fax (269) 633-2069
Location 10199 Veterans BlvdSouth Haven, MI 49090-8652 · Phone (269) 633-2066 · Fax (269) 633-2067

Other Identifiers 2

Other700C910600Bcbsm
Medicaid1720009954MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 of Waiver 23D0376785

Ascension Medical Group Promed · Kalamazoo, MI
Active · expires Apr 19, 2027
CLIA Number23D0376785
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorJoseph Prano
Laboratory Phone(269) 381-3963
Laboratory LocationAscension Medical Group Promed1722 Shaffer Street Suite 1 Attn Clinic Manager, Kalamazoo, MI 49001
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

JOANNA GRITTER
Dietitian, Registered
1717 SHAFFER ST
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-5290
MS. ALEXANDRA RAE COOK RDN
Dietitian, Registered
1717 SHAFFER ST, SUITE 108
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-4909
JAMES BAILEY BABEL M.D.
Surgery
1717 SHAFFER ST, SUITE 108
KALAMAZOO, MI 49048
Kalamazoo County (269) 343-9113
ALEXANDRA M TIMPSON RD
Dietitian, Registered
1717 SHAFFER ST, STE 124
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-5290
RESTORIX HEALTH INC
Nurse Practitioner
1717 SHAFFER ST
KALAMAZOO, MI 49048
Kalamazoo County (269) 552-0014
DANIEL ELLIOTT STEWART M.D.
Surgery
1717 SHAFFER ST, SUITE 108
KALAMAZOO, MI 49048
Kalamazoo County (269) 343-9113
ROBERT D STRUNG M.D.
Psychiatry & Neurology (Psychiatry)
1717 SHAFFER ST, SUITE 010
KALAMAZOO, MI 49048
Kalamazoo County (269) 337-6373
MARITZA E LAGOS-SAEZ M.D.
Psychiatry & Neurology (Psychiatry)
1717 SHAFFER ST, SUITE 010
KALAMAZOO, MI 49048
Kalamazoo County (269) 337-6373

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 Ascension Medical Group Promed's NPI number?

The NPI number for Ascension Medical Group Promed is 1720009954. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Ascension Medical Group Promed located?

Ascension Medical Group Promed is located at 1717 Shaffer St Ste 124, Kalamazoo, MI 49048. The listed phone number is (269) 344-5552.

What is Ascension Medical Group Promed's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Ascension Medical Group Promed hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0376785) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ascension Medical Group Promed accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Ascension Medical Group Promed 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 Ascension Medical Group Promed was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.