SOUTHWEST MICHIGAN DERMATOLOGY
NPI 1902847098
Dermatology in Portage, MI

Active since June 09, 2006CLIA Certified · 2 labs
3000 OLD CENTRE RD, PORTAGE, MI 49024(269) 321-7546(269) 321-1705 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southwest Michigan Dermatology NPPES

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

SOUTHWEST MICHIGAN DERMATOLOGY (NPI 1902847098) is a healthcare organization registered as a dermatology in Portage, Michigan and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Mark C. Rummel, President, as its authorized official.

NPPES Registry Identity

NPI1902847098
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePARAGON HEALTH, P.C.
Location Address3000 OLD CENTRE RDPortage, MI 49024-4883
Mailing Address3000 Old Centre RdPortage, MI 49024-4883 · (269) 321-7546 · Fax (269) 321-1705
Fax(269) 321-1705
Organization SubpartYes
Authorized OfficialMark C. RummelPresident · (269) 341-4554
Enumeration DateJune 9, 2006
Last NPPES UpdateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1902847098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
3000 OLD CENTRE RD, Portage, MI 49024

Other Names 1

Doing Business AsSouthwest Michigan Dermatology

Other Identifiers 2

OtherCN8688Railroad Medicare
Other070C910440MI · Blue Cross & Blue Shield

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Southwest Michigan Dermatology, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Dermatology
NPI 1447770672
3000 OLD CENTRE RD
Portage, MI 49024
(269) 321-7546
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1225411705
3000 OLD CENTRE RD
Portage, MI 49024
(269) 321-7546
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1619179710
3000 OLD CENTRE RD
Portage, MI 49024
(269) 321-7546
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1518925528
3000 OLD CENTRE RD
Portage, MI 49024
(269) 321-7546
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1063470078
3000 OLD CENTRE RD
Portage, MI 49024
(269) 321-7546
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1528704749
3000 OLD CENTRE RD
Portage, MI 49024
(269) 321-7546
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1952319303
2570 NILES RD
Saint Joseph, MI 49085
(269) 321-7546
✔ PECOS45 mi
Dermatology
NPI 1700445525
2570 NILES RD
Saint Joseph, MI 49085
(269) 321-7546
✔ PECOS✔ Accepts Medicare45 mi
Dermatology
NPI 1619909611
6735 CASCADE RD SE STE 300
Grand Rapids, MI 49546
(269) 321-7546
✔ PECOS✔ Accepts Medicare50 mi

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 Compliance 23D2349109

Southwest Michigan Dermatology · Grand Rapids, MI
Active · expires Aug 16, 2028
CLIA Number23D2349109
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
Laboratory DirectorNicole Bossenbroek
Laboratory Phone(269) 321-7546
Laboratory LocationSouthwest Michigan Dermatology6735 Cascade Road SE Suite 300, Grand Rapids, MI 49546
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 23D2307212

Southwest Michigan Dermatology · Saint Joseph, MI
Active · expires Apr 21, 2027
CLIA Number23D2307212
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorCraig A. Mohney
Laboratory Phone(269) 321-7546
Laboratory LocationSouthwest Michigan Dermatology2570 Niles Road, Saint Joseph, MI 49085
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 23D0948005

Southwest Michigan Dermatology · Portage, MI
Expired · Oct 12, 2026
CLIA Number23D0948005
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2024
Certificate Expiration DateOctober 12, 2026
Laboratory DirectorCraig A. Mohney
Laboratory Phone(269) 321-7546
Laboratory LocationSouthwest Michigan Dermatology3000 Old Centre Road, Portage, MI 49024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Paragon Health, P.C.'s NPI number?

The NPI number for Paragon Health, P.C. is 1902847098. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as Southwest Michigan Dermatology.

Where is Paragon Health, P.C. located?

Paragon Health, P.C. is located at 3000 Old Centre Rd, Portage, MI 49024. The listed phone number is (269) 321-7546.

What is Paragon Health, P.C.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Paragon Health, P.C. enrolled in Medicare?

Yes. Paragon Health, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paragon Health, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Dermatology, reassign their Medicare billing to Paragon Health, P.C.. 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. Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Paragon Health, P.C. hold CLIA laboratory certificates?

Yes. 2 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.

What insurance does Paragon Health, P.C. accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Paragon Health, P.C. 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 Paragon Health, P.C. was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.