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MICHIGAN NUTRIGENETICS
NPI 1740997212
Internal Medicine in Rockford, MI

Active since November 03, 2022
6701 BOCA VISTA DR NE UNIT 102, ROCKFORD, MI 49341(616) 255-5338 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2023, Nov 3, 2022 (2 updates tracked since 2022).

About Michigan Nutrigenetics NPPES

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

MICHIGAN NUTRIGENETICS (NPI 1740997212) is a healthcare organization registered as an internal medicine in Rockford, Michigan and active in the NPI registry since November 2022. The organization lists Dean Alan Ruble, President, as its authorized official.

NPPES Registry Identity

NPI1740997212
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMICHIGAN NUTRIGENETICS
Location Address6701 BOCA VISTA DR NE UNIT 102Rockford, MI 49341-9655
Mailing Address6701 Boca Vista Dr Ne Unit 102Rockford, MI 49341-9655 · (616) 255-5338
Phone(616) 255-5338
Organization SubpartNo
Authorized OfficialDean Alan RublePresident · (616) 255-5338
Enumeration DateNovember 3, 2022
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1740997212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
6701 BOCA VISTA DR NE UNIT 102, Rockford, MI 49341
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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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michigan Nutrigenetics, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dean Ruble, D.O.
Internal Medicine
NPI 1922291137
8200 OLD 13 MILE RD STE 101
Warren, MI 48093
(616) 255-5338
✔ PECOS✔ Accepts Medicare132 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 Michigan Nutrigenetics's NPI number?

The NPI number for Michigan Nutrigenetics is 1740997212. It was assigned to this organization in the NPPES registry on November 3, 2022.

Where is Michigan Nutrigenetics located?

Michigan Nutrigenetics is located at 6701 Boca Vista Dr NE Unit 102, Rockford, MI 49341. The listed phone number is (616) 255-5338.

What is Michigan Nutrigenetics's specialty?

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

Is Michigan Nutrigenetics enrolled in Medicare?

Yes. Michigan Nutrigenetics is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michigan Nutrigenetics?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Michigan Nutrigenetics. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michigan Nutrigenetics was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.