NPIMap

Individual provider Active NPI

Iris Boettcher, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Byron Center, MI
National Provider Identifier
1003863226
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
4301049244 Issued in MI
Practice address
7751 Byron Center Ave SW
Suite C
Byron Center, MI 49315-8001
Phone
(616) 776-7430
NPI assigned
May 31, 2006
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 4301049244 MI Primary

Addresses

Primary practice location

7751 Byron Center Ave SW
Suite C
Byron Center, MI 49315-8001

Mailing address

100 Michigan St NE
Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Iris.Boettcher@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050801000096 MI Practitioner - Geriatric MedicinePractitioner - Internal Medicine 9133157175 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1725 Port Sheldon St
Jenison, MI 49428-9002
Phone (616) 667-1725

2249 Wealthy St SE
110 Corewell Health Medical Group West
East Grand Rapids, MI 49506-3055
Phone (616) 391-4600

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

7751 Byron Ctr Ave SW a
Corewell Health Medical Group West
Byron Center, MI 49315-8001
Phone (616) 878-3321

7751 Byron Ctr Ave SW C
Corewell Health Medical Group West
Byron Center, MI 49315-8001
Phone (616) 267-7668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301049244MIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health United CurrentSince Sep 1, 2017 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Jan 1, 2011 Accepting new patients
Reed City Hospital Corporation CurrentSince Sep 1, 2017 Accepting new patients
Spectrum Health United CurrentSince Sep 1, 2017 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Jan 1, 2011 Accepting new patients
Reed City Hospital Corporation CurrentSince Sep 1, 2017 Accepting new patients
County of Barry Past Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

7751 Byron Center Ave SW
Ste C
Byron Center, MI 49315
Phone (616) 267-0357

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1300 Michigan St NE
Ste 103
Grand Rapids, MI 49503
Phone (616) 459-8338

2249 Wealthy St SE
Ste 110
Grand Rapids, MI 49506
Phone (616) 391-4600

1202 W Oak St
Greenville, MI 48838
Phone (616) 754-2944

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

418 Washington St
Lakeview, MI 48850
Phone (989) 352-6474

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

Interoperability endpoints

  • Direct secure messaging: iboettcher7409@epic00.corewelldirect.org
  • Direct secure messaging: iris.boettcher@epic00.shdirect.org

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Corewell Health Greenville Hospital Rehabilitation & Nursing CenterGreenville, MI, CCN 235143 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Corewell Health Rehabilitation & Nursing Center - KentridgeGrand Rapids, MI, CCN 235035 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Porter Hills Health CenterGrand Rapids, MI, CCN 235310 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 15, 2013
Jan 28, 2025
Corewell Health Reed City Hosp Rehab & NSG CtrReed City, MI, CCN 235205 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Valley Health CenterGrand Rapids, MI, CCN 235649 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 13, 2013
May 13, 2013
The Inn at Freedom VillageHolland, MI, CCN 235548 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Apr 10, 2025
Corewell Health Grand Rapids Hospitals Rehabilitation & Nursing CenterGrand Rapids, MI, CCN 235075 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Corewell Health Rehabilitation & Nursing Center - LeffingwellGrand Rapids, MI, CCN 235731 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Corewell Health Visiting Nurse AssociationGrand Rapids, MI, CCN 237007 Home health agency W-2 Managing Employee Jul 1, 2024

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1003863226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 BYRON CENTER AVE SW",
            "address_2": "SUITE C",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158001",
            "telephone_number": "616-776-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETTCHER",
        "first_name": "IRIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301049244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Iris.Boettcher@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "7751 Byron Center Ave SW",
            "address_2": "Suite C",
            "city": "Byron Center",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493158001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7751 Byron Center Ave SW",
            "address_2": "Suite C",
            "city": "Byron Center",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493158001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

Verify at the official NPI Registry.