Active NPI
Mark W Lenters, M.D.
- Obstetrics & Gynecology Physician
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ML064096
- Practice address
- 664 Michigan Ave
Holland, MI 49423-4944 - Phone
- (616) 392-5973
- Fax
- (616) 392-1646
- NPI assigned
- Dec 15, 2005
- Last updated
- Feb 2, 2021
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ML064096 | MI | Primary |
Addresses
Primary practice location
664 Michigan Ave
Holland, MI 49423-4944
Mailing address
664 Michigan Ave
Holland, MI 49423-4944
Phone (616) 392-5973
Other practice location 1
3290 N Wellness Dr Ste 120
Holland, MI 49424-8047
Phone (616) 392-5973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4092726 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marklenters@obgynahpc.allscriptsdirect.net |
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
- Obstetrics/Gynecology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
664 Michigan Ave
Holland, MI 49423-4944
Phone (616) 392-5973
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML064096 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holland Community Hospital | Past | Accepting new patients |
Interoperability endpoints
- marklenters@obgynahpc.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Holland, MI
- NPI 1003988460
-
dba Holland Hospital
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holland Hospital
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1013993674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 MICHIGAN AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234944",
"telephone_number": "616-392-5973",
"fax_number": "616-392-1646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 MICHIGAN AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234944",
"telephone_number": "616-392-5973",
"fax_number": "616-392-1646"
}
],
"practiceLocations": [
{
"address_1": "3290 N Wellness Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Holland",
"state": "MI",
"postal_code": "494248047",
"country_code": "US",
"telephone_number": "616-392-5973",
"fax_number": "616-392-1646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENTERS",
"first_name": "MARK",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "ML064096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4092726",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marklenters@obgynahpc.allscriptsdirect.net",
"affiliation": "N",
"address_1": "664 Michigan Ave",
"city": "Holland",
"state": "MI",
"country_code": "US",
"postal_code": "494234944",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.