Active NPI
Lee Michael Sterenberg, D.O.
- Family Medicine Physician
- Grand Haven, MI
National Provider Identifier
1003811092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101009998
- Practice address
- 600 Park Ave
Grand Haven, MI 49417-2173 - Phone
- (616) 847-8700
- Fax
- (616) 847-1049
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101009998 | MI | Primary |
Addresses
Primary practice location
600 Park Ave
Grand Haven, MI 49417-2173
Mailing address
600 Park Ave
Grand Haven, MI 49417-2173
Phone (616) 847-8700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3192075 | Medicaid | MA | |
| 5190580 | Medicaid | MI | |
| 3108080 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
600 Park Ave
Suite 4
Grand Haven, MI 49417-2173
Phone (616) 847-8700
Hospital & facility affiliations
- Trinity Health Grand Haven Hospital
- Spectrum Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Health Partners Grand Haven PLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/24382/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/AIEHAD/Endpoint/AIEHAD
- lee.sterenberg.1@24382.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Grand Haven, MI
- NPI 1306036090
-
- Emergency Medicine Physician
- Grand Haven, MI
- NPI 1700950953
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
-
- General Acute Care Hospital
- Grand Haven, MI
- NPI 1942379284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1003811092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 PARK AVE",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172173",
"telephone_number": "616-847-8700",
"fax_number": "616-847-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PARK AVE",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172173",
"telephone_number": "616-847-8700",
"fax_number": "616-847-1049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERENBERG",
"first_name": "LEE",
"middle_name": "MICHAEL",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101009998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3192075",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5190580",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3108080",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.