JARED WILLIAM DOEZEMA MD
NPI 1811578750
Pediatrics in Grand Rapids, MI
About Jared William Doezema Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JARED WILLIAM DOEZEMA MD (NPI 1811578750) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4351048540) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jared William Doezema Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49507 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jared Doezema's NPI number?
The NPI number for Jared Doezema is 1811578750. It was assigned to this individual provider in the NPPES registry on April 20, 2021.
Where is Jared Doezema located?
Jared Doezema practices at 733 Alger St SE, Grand Rapids, MI 49507. The listed phone number is (616) 243-9515.
What is Jared Doezema's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jared Doezema enrolled in Medicare?
Yes. Jared Doezema is registered in the Medicare PECOS enrollment system.
What insurance does Jared Doezema 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 Jared Doezema 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 Jared Doezema was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jared William Doezema, MD · NPI 1811578750
Pediatrics physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since April 20, 2021.
## Identity
- **NPI:** 1811578750 (Entity type: Individual)
- **Enumerated:** April 20, 2021
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 4351048540 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 733 ALGER ST SE, Grand Rapids, MI 49507-3530
- **Phone:** (616) 243-9515
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811578750) · Data from the CMS NPPES public registry.