Individual provider Active NPI

Joel Elmer Anhalt, D.O.

  • Family Medicine Physician
  • Arcadia, MI
National Provider Identifier
1073623252
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101015063 Issued in MI
Practice address
3618 Glovers Lake Rd
Arcadia, MI 49613-9744
Phone
(231) 889-7030
Fax
(231) 889-7032
NPI assigned
Aug 30, 2006
Last updated
Nov 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101015063 MI Primary

Addresses

Primary practice location

3618 Glovers Lake Rd
Arcadia, MI 49613-9744

Mailing address

PO Box 337
Arcadia, MI 49613-0337
Phone (231) 889-7030

Other identifiers 1

IdentifierTypeStateIssuer
4612281MedicaidMI

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
I20040819001149 MI Practitioner - Family PracticePractitioner - Sports MedicinePractitioner - Preventive Medicine 4880668599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Preventive Medicine, Sports Medicine
Education
Michigan State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3618 Glovers Lake Rd
Arcadia, MI 49613-9744
Phone (231) 889-7030

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RSSK, PLC Family Medicine CurrentSince Apr 25, 2014 Accepting new patients

Locations

3618 Glovers Lake Rd
Arcadia, MI 49613
Phone (231) 889-7030

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFCCDA/Endpoint/FFCCDA
  • Direct secure messaging: joel.anhalt@rssk.eclinicaldirectplus.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 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1073623252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "ARCADIA",
            "state": "MI",
            "postal_code": "496130337",
            "telephone_number": "231-889-7030",
            "fax_number": "231-889-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 GLOVERS LAKE RD",
            "city": "ARCADIA",
            "state": "MI",
            "postal_code": "496139744",
            "telephone_number": "231-889-7030",
            "fax_number": "231-889-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANHALT",
        "first_name": "JOEL",
        "middle_name": "ELMER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4612281",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, MI

Sources for this page

Verify at the official NPI Registry.