Active NPI
Midwest Institute of Health PC
- Surgery Physician
- Grand Rapids, MI
National Provider Identifier
1013166222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- PK068077
- Legal business name
- MIDWEST INSTITUTE OF HEALTH PC
- Practice address
- 2060 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-6113 - Phone
- (616) 956-6100
- Fax
- (616) 956-6637
- NPI assigned
- Sep 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tiffany Renee Sheely
- Title
- Practice Manager
- Phone
- (616) 956-6100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | PK068077 | MI | Primary |
Addresses
Primary practice location
2060 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-6113
Mailing address
2060 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-6113
Phone (616) 956-6100
Other names 1
- Grand Health Partners
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090127000412 | MI | Part B Supplier - Clinic/Group Practice | 2466516091 |
Receives reassigned benefits from 25 practitioners Practice locations: Grand Rapids, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1101925 | Grand Health Partners | Certificate of waiver | Jul 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
405 N Division Rd
Ste 2
Petoskey, MI 49770
521 Monroe St
Ste 100
Petoskey, MI 49770
Practitioners & affiliated clinicians
Practitioners 25
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773273600000",
"number": "1013166222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 E PARIS AVE SE",
"address_2": "SUITE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466113",
"telephone_number": "616-956-6100",
"fax_number": "616-956-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 E PARIS AVE SE",
"address_2": "SUITE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466113",
"telephone_number": "616-956-6100",
"fax_number": "616-956-6637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST INSTITUTE OF HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-11",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A",
"authorized_official_last_name": "SHEELY",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "616-956-6100",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "MI",
"license": "PK068077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grand Health Partners",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.