Active NPI
Eric S Shay, M.D.
- Internal Medicine Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301059651
- Practice address
- 601 John St
Suite M-170
Kalamazoo, MI 49007-5341 - Phone
- (269) 381-5060
- Fax
- (269) 381-1655
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301059651 | MI | Primary |
Addresses
Primary practice location
601 John St
Suite M-170
Kalamazoo, MI 49007-5341
Mailing address
601 John St
Suite M-170
Kalamazoo, MI 49007-5341
Phone (269) 381-5060
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110C910470 | Other | MI | BCBS GRP PIN |
| 155422 | Other | GREAT LAKES HLTH PLN | |
| 3489263-10 | Medicaid | MI | |
| 5033427 | Other | AETNA PIN | |
| 1103902331 | Other | MI | BCBS IND PIN |
| 1003858770 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct |
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
- Internal Medicine
- Education
- Michigan State University College of Human Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Powerback Rehabilitation LLC
Practice addresses (Care Compare)
2825 Airview Blvd
Portage, MI 49002-1802
3951 W Milham Ave
Portage, MI 49024-1088
Phone (269) 447-1689
601 John St
Kalamazoo, MI 49007-5341
601 John St
Kalamazoo, MI 49007-5377
Hospital & facility affiliations
- Bronson at Home Healthcare Services
- Centrica Care Navigators
- Bronson Methodist Hospital
- Bronson Lakeview Hospital
- Bronson Battle Creek Hospital
- Bronson South Haven Hospital
- Borgess Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301059651 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Methodist Hospital | Current | Accepting new patients | |
| Healthcare Midwest PC | Internal Medicine | Past | Accepting new patients |
| Healthcare Midwest, PC | Past | Accepting new patients |
Locations
300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
601 John St
Ste M-170A
Kalamazoo, MI 49007
Phone (269) 381-5060
601 John St
Ste M-170
Kalamazoo, MI 49007
Phone (269) 343-3939
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
291 W Centre Ave
Portage, MI 49024
Phone (269) 488-8430
Interoperability endpoints
- eshay10787@direct.bronsonhg.org
- direct@direct.bronsonhg.org
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1306067285
-
- Durable Medical Equipment & Medical Supplies
- Kalamazoo, MI
- NPI 1245532456
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- Home Health Agency
- Battle Creek, MI
- NPI 1376524090
-
- General Acute Care Hospital
- Battle Creek, MI
- NPI 1083644579
-
- Critical Access Hospital
- Paw Paw, MI
- NPI 1962508259
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
- General Acute Care Hospital
- South Haven, MI
- NPI 1346275856
-
- Community Based Hospice Care Agency
- Kalamazoo, MI
- NPI 1235197401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1003858770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 JOHN ST",
"address_2": "SUITE M-170",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075341",
"telephone_number": "269-381-5060",
"fax_number": "269-381-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 JOHN ST",
"address_2": "SUITE M-170",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075341",
"telephone_number": "269-381-5060",
"fax_number": "269-381-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAY",
"first_name": "ERIC",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2023-11-27",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301059651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GRP PIN",
"identifier": "110C910470",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HLTH PLN",
"identifier": "155422",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3489263-10",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "5033427",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IND PIN",
"identifier": "1103902331",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003858770",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity of Care Document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.