Active NPI
Jonathan Hy
- Obstetrics & Gynecology Physician
- Grand Rapids, MI
National Provider Identifier
1083290415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301517650
- Practice address
- 25 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2572 - Phone
- (616) 391-3681
- Fax
- (616) 391-8670
- NPI assigned
- Mar 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 4301517650 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | 4301517650 | MI | Primary |
Addresses
Primary practice location
25 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2572
Mailing address
25 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2572
Phone (616) 391-8670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783036800000",
"number": "1083290415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MICHIGAN ST NE STE 5200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032572",
"telephone_number": "616-391-8670",
"fax_number": "616-391-8670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MICHIGAN ST NE STE 5200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032572",
"telephone_number": "616-391-3681",
"fax_number": "616-391-8670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HY",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-24",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MI",
"license": "4301517650",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301517650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 3, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.