Individual provider Active NPI

Karl Nadolsky Jr., DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Holland, MI
National Provider Identifier
1053567743
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
5101023031 Issued in MI
Practice address
650 S Waverly Rd Ste 100
Holland, MI 49423-9121
Phone
(616) 312-2859
Fax
(866) 636-2397
NPI assigned
Aug 13, 2008
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 5101023031 MI Primary

Addresses

Primary practice location

650 S Waverly Rd Ste 100
Holland, MI 49423-9121

Mailing address

650 S Waverly Rd Ste 100
Holland, MI 49423-9121
Phone (616) 312-2859

Other identifiers 1

IdentifierTypeStateIssuer
1053567743OtherNADOLSKY PLC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170608000394 MI Practitioner - Endocrinology 0244478766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

650 S Waverly Rd
Suite 100
Holland, MI 49423-9121
Phone (616) 886-6206

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101023031MIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nadolsky PLC Endocrinology, Diabetes & Metabolism CurrentSince Jan 11, 2025 Accepting new patients
Holland Community Hospital Current Accepting new patients

Locations

650 S Waverly Rd
Ste 100
Holland, MI 49423
Phone (616) 312-2859

Interoperability endpoints

  • Direct secure messaging: karl.nadolsky@1024048979836932.direct.elationemr.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1053567743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S WAVERLY RD STE 100",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494239121",
            "telephone_number": "616-312-2859",
            "fax_number": "866-636-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S WAVERLY RD STE 100",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494239121",
            "telephone_number": "616-312-2859",
            "fax_number": "866-636-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADOLSKY",
        "first_name": "KARL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "5101023031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NADOLSKY PLC",
            "identifier": "1053567743",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.