DR. KENNETH SCOTT HEERINGA DO
NPI 1972582567
Anesthesiology in Grand Rapids, MI

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 364-4200(616) 364-7347 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2024, May 19, 2023, Mar 9, 2023 (3 updates tracked since 2023).

About Dr. Kenneth Scott Heeringa Do NPPES

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

DR. KENNETH SCOTT HEERINGA DO (NPI 1972582567) is an individual anesthesiology provider in Grand Rapids, Michigan, licensed in Michigan (5101013374) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1972582567
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. KENNETH SCOTT HEERINGACredential: DO
Location Address3333 EVERGREEN DR NEGrand Rapids, MI 49525-9756
Mailing Address3333 Evergreen Dr NeGrand Rapids, MI 49525-9756 · (616) 364-4200 · Fax (616) 364-7347
Fax(616) 364-7347
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1997
Enumeration DateJanuary 11, 2006
Last NPPES UpdateApril 30, 20243 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
NPI 1972582567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses Licensed in MI · 5101013374 Licensed in WI · 1803
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3333 EVERGREEN DR NE, Grand Rapids, MI 49525

Secondary Practice Locations 3

Location 110400 75th StKenosha, WI 53142-7884 · Phone (262) 948-5600
Location 2515 22nd AveMonroe, WI 53566-1569 · Phone (608) 324-1000
Location 33400 E Racine StJanesville, WI 53546-2344 · Phone (608) 373-8000 · Fax (608) 373-8795

Other Identifiers 2

Medicaid4478999MI
Medicaid1972582567WI

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

Dr. Kenneth Scott Heeringa Do 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 ID3779770326
PECOS Enrollment IDI20101208000305, I20230127001147
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
40 services34 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

The Monroe Clinic

Acute Care Hospitals · Monroe, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520208
Location3400 East Racine StreetJanesville, WI 53546 · Rock County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Anesthesiologist Assistant
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Nurse Anesthetist, Certified Registered
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Nurse Anesthetist, Certified Registered
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525

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 Kenneth Heeringa's NPI number?

The NPI number for Kenneth Heeringa is 1972582567. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Kenneth Heeringa located?

Kenneth Heeringa practices at 3333 Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 364-4200.

What is Kenneth Heeringa's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kenneth Heeringa enrolled in Medicare?

Yes. Kenneth Heeringa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kenneth Heeringa affiliated with any hospitals?

According to CMS data, Kenneth Heeringa is affiliated with Spectrum Health, The Monroe Clinic and Ssm Health St Mary's Hospital - Janesville.

When was this NPI record last updated?

The NPPES record for Kenneth Heeringa was last updated on April 30, 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.