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JAMES ROBERT POLEGA MD
NPI 1740700236
Internal Medicine - Infectious Disease in Grand Rapids, MI

Active since June 26, 2017PECOS EnrolledAccepts Medicare Assignment
230 MICHIGAN ST NE STE 230, GRAND RAPIDS, MI 49503(616) 774-2822 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 27, 2025, Nov 17, 2022, Dec 15, 2021 and 3 more (6 updates tracked since 2017).

About James Robert Polega Md NPPES

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

JAMES ROBERT POLEGA MD (NPI 1740700236) is an individual infectious disease provider in Grand Rapids, Michigan, licensed in Michigan (4301119218) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Michigan State University College Of Human Medicine (2017).

NPPES Registry Identity

NPI1740700236
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameJAMES ROBERT POLEGACredential: MD
Location Address230 MICHIGAN ST NE STE 230Grand Rapids, MI 49503-2550
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 774-2822
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2017
Enumeration DateJune 26, 2017
Last NPPES UpdateJune 27, 20256 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1740700236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MI · 4301119218
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
230 MICHIGAN ST NE STE 230, Grand Rapids, MI 49503
Open in Google Maps ↗

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Robert Polega 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 ID4486924016
PECOS Enrollment IDI20191001000742
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.

Medicare Billing Reassignments

2

Medicare enrollment records show James Polega reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Primary Care Partners
0.1 mi
Internal Medicine
100 MICHIGAN ST NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1689499667 (616) 486-6790
Pine Rest Christian Mental Health Services
9.2 mi
Psychiatry
300 68TH ST SE
Grand Rapids, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 147 clinicians in this Medicare group
NPI 1700894623 (616) 455-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County
Emergency services Birthing friendly

Corewell Health Reed City Hospital

Critical Access Hospitals · Reed City, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231323
Location300 N Patterson, PO Box 75Reed City, MI 49677 · Osceola County
Emergency services

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231338
Location212 S Sullivan StFremont, MI 49412 · Newaygo County
Emergency services Birthing friendly

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 16

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

MUDITA BHUGRA MD
Internal Medicine
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503
Kent County (616) 774-2822
JANNA LYNN WILLIAMS MD
Internal Medicine (Infectious Disease)
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503
Kent County (616) 774-2822
NATALIE MARIE NORMAN NP
Nurse Practitioner (Family)
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503
Kent County (616) 774-2822
ERIK CHRISTOPHER PETERSON NP
Nurse Practitioner (Gerontology)
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503
Kent County (616) 774-2822
JOSE ALBERTO MORILLAS RODRIGUEZ M.D.
Internal Medicine (Infectious Disease)
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503
Kent County (616) 774-2822
JORDAN BLAKE ASHDOWN PA-C
Physician Assistant
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503
Kent County (616) 774-2822
HANNAH LYNN BRAY MD
Internal Medicine
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503
Kent County (616) 391-3777
JULIE MICHELLE KEHDI DO
Internal Medicine (Infectious Disease)
230 MICHIGAN ST NE STE 230
GRAND RAPIDS, MI 49503
Kent County (616) 774-2822

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 James Polega's NPI number?

The NPI number for James Polega is 1740700236. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is James Polega located?

James Polega practices at 230 Michigan St NE Ste 230, Grand Rapids, MI 49503. The listed phone number is (616) 774-2822.

What is James Polega's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is James Polega enrolled in Medicare?

Yes. James Polega is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Polega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Polega reassigns Medicare benefits to 2 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI) and Pine Rest Christian Mental Health Services (Grand Rapids, MI). Each 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 James Polega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Polega 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 and 1 other insurer list James Polega 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.

Is James Polega affiliated with any hospitals?

According to CMS data, James Polega is affiliated with Spectrum Health, Corewell Health Big Rapids Hospital, Corewell Health Reed City Hospital, Corewell Health Gerber Hospital and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for James Polega was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.