GREAT LAKES SPECIALISTS LLC
NPI 1720890098
Internal Medicine - Interventional Cardiology in Grand Rapids, MI

Active since January 23, 2025
1525 E BELTLINE AVE NE STE 101, GRAND RAPIDS, MI 49525(877) 786-2040(302) 261-7479 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Specialists Llc NPPES

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

GREAT LAKES SPECIALISTS LLC (NPI 1720890098) is a healthcare organization registered as an interventional cardiology in Grand Rapids, Michigan and active in the NPI registry since January 2025. The organization lists Aamir Abbas, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1720890098
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameGREAT LAKES SPECIALISTS LLC
Location Address1525 E BELTLINE AVE NE STE 101Grand Rapids, MI 49525-4598
Mailing Address1525 E Beltline Ave Ne Ste 101Grand Rapids, MI 49525-4598 · (877) 786-2040 · Fax (302) 261-7479
Fax(302) 261-7479
Organization SubpartNo
Authorized OfficialAamir AbbasOwner Of Entity · (877) 786-2040
Enumeration DateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
NPI 1720890098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
1525 E BELTLINE AVE NE STE 101, Grand Rapids, MI 49525

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

Other Providers at the Same Location NPPES 4

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

Physician Assistant
1525 E BELTLINE AVE NE STE 101
GRAND RAPIDS, MI 49525
Physical Therapist (Orthopedic)
1525 E BELTLINE AVE NE STE 101
GRAND RAPIDS, MI 49525
Internal Medicine (Cardiovascular Disease)
1525 E BELTLINE AVE NE STE 101
GRAND RAPIDS, MI 49525
Anesthesiology
1525 E BELTLINE AVE NE STE 101
GRAND RAPIDS, MI 49525

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 Great Lakes Specialists LLC's NPI number?

The NPI number for Great Lakes Specialists LLC is 1720890098. It was assigned to this organization in the NPPES registry on January 23, 2025.

Where is Great Lakes Specialists LLC located?

Great Lakes Specialists LLC is located at 1525 E Beltline Ave NE Ste 101, Grand Rapids, MI 49525. The listed phone number is (877) 786-2040.

What is Great Lakes Specialists LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for Great Lakes Specialists LLC was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.