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

BEACON KALAMAZOO INC
NPI 1780679753
Orthopaedic Surgery in Kalamazoo, MI

Active since September 15, 2005CLIA Certified · 3 labs
2490 S 11TH ST, SUITE 201, KALAMAZOO, MI 49009(269) 343-1535(269) 343-0418 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2026, Feb 24, 2023 (2 updates tracked since 2023).

About Beacon Kalamazoo Inc NPPES

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

BEACON KALAMAZOO INC (NPI 1780679753), doing business as Beacon Kalamazoo Bone & Joint Specialists, is a healthcare organization registered as an orthopaedic surgery in Kalamazoo, Michigan and active in the NPI registry since September 2005. The organization holds 3 active CLIA laboratory certificates and lists Irene Maffetone, Manager Contracting, as its authorized official.

NPPES Registry Identity

NPI1780679753
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameBEACON KALAMAZOO INC
Location Address2490 S 11TH ST, SUITE 201Kalamazoo, MI 49009-2175
Mailing Address3245 Health DrGranger, IN 46530-1380 · (574) 647-1820
Fax(269) 343-0418
Organization SubpartNo
Authorized OfficialIrene MaffetoneManager Contracting · (574) 647-1040
Enumeration DateSeptember 15, 2005
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1780679753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MI · 392110031
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2490 S 11TH ST, Kalamazoo, MI 49009

Other Names 2

Doing Business AsBeacon Kalamazoo Bone & Joint Specialists
Doing Business AsKalamazoo Orthopaedic Clinic

Other Identifiers 1

Other200C976490Bcbsm Pin

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beacon Kalamazoo Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

246

Medicare enrollment records show 246 clinicians reassign Medicare billing to Beacon Kalamazoo Inc, which bills Medicare for the services they deliver. Of these, 94 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Emergency Medicine112
Internal Medicine28
Nurse Practitioner26
Cardiovascular Disease (Cardiology)17
Family Practice14
Diagnostic Radiology9
Hospitalist9
Interventional Cardiology9
12 other specialties22

Nearest to this location (20)

See all 246
Internal Medicine
NPI 1356436976
5943 STADIUM DR.
Kalamazoo, MI 49009
(269) 552-2898
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1962463141
2520 ROBERT JONES WAY
Kalamazoo, MI 49009
(269) 375-0400
✔ PECOS0.5 mi
Sports Medicine
NPI 1396713509
6210 W. MAIN ST
Kalamazoo, MI 49009
(269) 286-7030
✔ PECOS✔ Accepts Medicare2.2 mi
Emergency Medicine
NPI 1578524179
6565 W MAIN ST
Kalamazoo, MI 49009
(269) 375-0400
✔ PECOS✔ Accepts Medicare2.3 mi
Emergency Medicine
NPI 1447279989
6565 W MAIN ST
Kalamazoo, MI 49009
(269) 375-0459
✔ PECOS2.3 mi
Internal Medicine
NPI 1851338610
1000 OAKLAND DR
Kalamazoo, MI 49008
(269) 337-6300
✔ PECOS✔ Accepts Medicare3.3 mi
Emergency Medicine
NPI 1679774244
1000 OAKLAND DR
Kalamazoo, MI 49008
(269) 337-4400
✔ PECOS✔ Accepts Medicare3.3 mi
Emergency Medicine
NPI 1841813243
1000 OAKLAND DR
Kalamazoo, MI 49008
(269) 337-4600
✔ PECOS✔ Accepts Medicare3.3 mi
Emergency Medicine
NPI 1639730161
1000 OAKLAND DR
Kalamazoo, MI 49008
(269) 337-4400
✔ PECOS✔ Accepts Medicare3.3 mi
Internal Medicine
NPI 1578765806
1000 OAKLAND DR
Kalamazoo, MI 49008
(269) 337-4400
✔ PECOS✔ Accepts Medicare3.3 mi
Internal Medicine
NPI 1710212758
1000 OAKLAND DR
Kalamazoo, MI 49008
(269) 337-4400
✔ PECOS✔ Accepts Medicare3.3 mi
Family Practice
NPI 1073108601
8088 VINEYARD PKWY
Kalamazoo, MI 49009
(269) 286-7090
✔ PECOS✔ Accepts Medicare3.3 mi
General Practice
NPI 1720080351
2520 ROBERT JONES WAY
Kalamazoo, MI 49009
(269) 375-0400
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1629355813
555 W CROSSTOWN PKWY STE 200
Kalamazoo, MI 49008
(269) 585-0200
✔ PECOS✔ Accepts Medicare3.6 mi
Internal Medicine
NPI 1780658146
601 JOHN ST
Kalamazoo, MI 49007
(269) 341-8481
✔ PECOS✔ Accepts Medicare4.2 mi
Cardiovascular Disease (Cardiology)
NPI 1255311692
601 JOHN ST STE M351
Kalamazoo, MI 49007
(269) 341-8786
✔ PECOS✔ Accepts Medicare4.2 mi
Hospitalist
NPI 1649249822
601 JOHN ST SELECT SPECIALTY HOSPITAL
Kalamazoo, MI 49007
(269) 341-7100
✔ PECOS✔ Accepts Medicare4.2 mi
Cardiovascular Disease (Cardiology)
NPI 1215917869
601 JOHN ST SUITE M351
Kalamazoo, MI 49007
(269) 341-8786
✔ PECOS✔ Accepts Medicare4.2 mi
Cardiovascular Disease (Cardiology)
NPI 1629053368
601 JOHN ST SUITE M230
Kalamazoo, MI 49007
(269) 345-9606
✔ PECOS4.2 mi
Nurse Practitioner
NPI 1700321841
7901 ANGLING RD
Portage, MI 49024
(269) 324-8405
✔ PECOS✔ Accepts Medicare4.4 mi
See all 246 clinicians

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

CLIA Laboratory Certificates CMS CLIA 3

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 Accreditation 23D0882666

Beacon Kalamazoo Cancer Center · Kalamazoo, MI
Active · expires Jul 6, 2028
CLIA Number23D0882666
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorAgatha Bogard
Laboratory Phone(269) 633-4018
Laboratory LocationBeacon Kalamazoo Cancer Center2520 Robert Jones Way, Kalamazoo, MI 49009
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 23D0891747

Beacon Kalamazoo Westside Family Medicine · Kalamazoo, MI
Active · expires Jun 24, 2028
CLIA Number23D0891747
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorJill S. Winkler
Laboratory Phone(269) 375-0400
Laboratory LocationBeacon Kalamazoo Westside Family Medicine2520 Robert Jones Way, Kalamazoo, MI 49009
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2281185

Beacon Kalamazoo Cancer Center · Kalamazoo, MI
Active · expires May 2, 2027
CLIA Number23D2281185
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorIman Mohamed
Laboratory Phone(269) 552-0420
Laboratory LocationBeacon Kalamazoo Cancer Center2520 Robert Jones Way, Kalamazoo, MI 49009
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Beacon Kalamazoo Inc's NPI number?

The NPI number for Beacon Kalamazoo Inc is 1780679753. It was assigned to this organization in the NPPES registry on September 15, 2005. The provider is doing business as Beacon Kalamazoo Bone & Joint Specialists and Kalamazoo Orthopaedic Clinic.

Where is Beacon Kalamazoo Inc located?

Beacon Kalamazoo Inc is located at 2490 S 11th St Suite 201, Kalamazoo, MI 49009. The listed phone number is (269) 343-1535.

What is Beacon Kalamazoo Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Beacon Kalamazoo Inc enrolled in Medicare?

Yes. Beacon Kalamazoo Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beacon Kalamazoo Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 246 clinicians in 20 Medicare specialties reassign their Medicare billing to Beacon Kalamazoo Inc. 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. The largest specialties are Emergency Medicine (112), Internal Medicine (28) and Nurse Practitioner (26). Of these, 94 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Beacon Kalamazoo Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Beacon Kalamazoo Inc was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.