DR. KENNETH SCOTT HEERINGA DO
NPI 1972582567
Anesthesiology in Grand Rapids, MI
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
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kenneth Heeringa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 1,377 clinicians in this Medicare group
Monroe, WI 53566
- Reassigned Medicare billing, Wisconsin enrollment
- 376 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MIThe Monroe Clinic
Acute Care Hospitals · Monroe, WISsm Health St Mary's Hospital - Janesville
Acute Care Hospitals · Janesville, WIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49525
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.
Which organizations bill Medicare for Kenneth Heeringa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Heeringa reassigns Medicare benefits to 3 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Dean Health Systems, Inc (Madison, WI) and The Monroe Clinic, Inc. (Monroe, WI). Each 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 Kenneth Heeringa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Kenneth Scott Heeringa, DO · NPI 1972582567
Anesthesiology physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since January 11, 2006.
## Identity
- **NPI:** 1972582567 (Entity type: Individual)
- **Enumerated:** January 11, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 5101013374 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3333 EVERGREEN DR NE, Grand Rapids, MI 49525-9756
- **Phone:** (616) 364-4200 · **Fax:** (616) 364-7347
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Spectrum Health Primary Care Partners (NPI 1346480258, Grand Rapids, MI); Dean Health Systems, Inc (NPI 1053358846, Madison, WI); The Monroe Clinic, Inc. (NPI 1386720548, Monroe, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 1997
## Record status
- **NPPES last updated:** April 30, 2024
- **Other identifiers:** Medicaid 4478999 (MI); Medicaid 1972582567 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1972582567) · Data from the CMS NPPES public registry.