KALEIGH MARIE FETCKO-FAYAD MD
NPI 1962906545
Psychiatry & Neurology - Neurology in Grand Rapids, MI

Q: What is Kaleigh Fetcko-fayad's NPI number?

The NPI number for Kaleigh Fetcko-fayad is 1962906545. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Q: What is Kaleigh Fetcko-fayad's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment

145 MICHIGAN ST NE STE 5200, GRAND RAPIDS, MI 49503(616) 486-6700 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2024, Jul 12, 2022, Mar 20, 2018 (3 updates tracked since 2018).

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About Kaleigh Marie Fetcko-fayad Md NPPES

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

KALEIGH MARIE FETCKO-FAYAD MD (NPI 1962906545) is an individual neurology provider in Grand Rapids, Michigan, licensed in Michigan (4301511327) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962906545

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameKALEIGH MARIE FETCKO-FAYADCredential: MD

Location Address145 MICHIGAN ST NE STE 5200Grand Rapids, MI 49503-2565

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 486-6700

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 20, 2018

Last NPPES UpdateJuly 31, 20243 updates tracked since enumeration

NPPES CertifiedJuly 31, 2024

✔ NPI 1962906545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MI · 4301511327

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

145 MICHIGAN ST NE STE 5200, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaleigh Marie Fetcko-fayad 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 ID4486901873

PECOS Enrollment IDI20240624001841

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.

Hospital Affiliations CMS Care Compare

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

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 14

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

LAMA KHOLOUD KHALEK FNP

Nurse Practitioner (Family)