Individual provider Active NPI

Manish Kumar Thakur, MD

  • Medical Oncology Physician
  • Grand Rapids, MI
National Provider Identifier
1093022386
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
4301095883 Issued in MI
Practice address
145 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2565
Phone
(616) 486-6700
NPI assigned
Sep 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301095883 MI
Hematology (Internal Medicine) Physician 207RH0000X 4301095883 MI
Medical Oncology Physician 207RX0202X 4301095883 MI Primary

Addresses

Primary practice location

145 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2565

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mthakur260174@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

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
I20160803000223 MI Practitioner - Hematology/Oncology 5799925640 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Medical Center of West MichiganGroup PAC ID 3678543659, 62 clinicians
Spectrum Health Primary Care PartnersGroup PAC ID 4587568647, 2,283 clinicians
Pennock HospitalGroup PAC ID 4587551015, 79 clinicians
Newaygo County General Hospital AssociationGroup PAC ID 4880503051, 64 clinicians
Reed City Hospital CorporationGroup PAC ID 6406740695, 32 clinicians

Practice addresses (Care Compare)

1 Atkinson Dr
Ludington, MI 49431-1906
Phone (231) 843-2591

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115

1005 W Green St
Hastings, MI 49058-1725

1009 W Green St
Corewell Health Pennock Hospital
Hastings, MI 49058-1710
Phone (269) 948-3129

145 Michigan St NE
5500 Corewell Health Medical Group West
Grand Rapids, MI 49503-2565
Phone (616) 267-8540

1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000

212 S Sullivan Ave
Corewell Health Gerber Hospital
Fremont, MI 49412-1548
Phone (231) 924-1212

230 W Oak St
Corewell Health Gerber Hospital
Fremont, MI 49412-1526
Phone (231) 924-4200

300 N Patterson Rd
Corewell Health Reed City Hospital
Reed City, MI 49677-8041
Phone (231) 832-7170

4069 Lake Dr SE
Grand Rapids, MI 49546-8816

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

4499 220TH Ave
Reed City, MI 49677-8593
Phone (231) 832-5817

5 Atkinson Dr
302 Corewell Health Medical Group West
Ludington, MI 49431-1906
Phone (616) 267-8700

615 S Bower St
Greenville, MI 48838-2614
Phone (616) 225-6522

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Corewell Health Reed City Hospital Hospital, Reed City, MI, CCN 231323
  • Corewell Health Pennock Hospital Hospital, Hastings, MI, CCN 231339
  • Corewell Health Gerber Hospital Hospital, Fremont, MI, CCN 231338
  • Corewell Health Big Rapids Hospital Hospital, Big Rapids, MI, CCN 230093

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health United CurrentSince Jul 11, 2022 Accepting new patients
Newaygo County General Hospital Association Internal Medicine CurrentSince Jul 11, 2022 Accepting new patients
Ascension Borgess Allegan Hospital CurrentSince Aug 11, 2018 Accepting new patients
Pennock Hospital Internal Medicine CurrentSince Jul 11, 2022 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Jul 11, 2022 Accepting new patients
Bronson Battle Creek Hospital Internal Medicine CurrentSince Aug 25, 2020 Accepting new patients
Pennock Hospital Internal Medicine CurrentSince Jul 11, 2022 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Jul 11, 2022 Accepting new patients
Spectrum Health United CurrentSince Jul 11, 2022 Accepting new patients
West Michigan Cancer Center Medical Oncology CurrentSince Jul 1, 2017 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Aug 25, 2020 Accepting new patients
Ascension Borgess Allegan Hospital CurrentSince Aug 11, 2018 Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Aug 21, 2017 Accepting new patients
Bronson Methodist Hospital CurrentSince Jan 1, 2021 Accepting new patients
Newaygo County General Hospital Association CurrentSince Jul 11, 2022 Accepting new patients
University Physician Group Internal Medicine CurrentSince Aug 6, 2016 Accepting new patients
West Michigan Cancer Center CurrentSince Jul 1, 2017 Accepting new patients
Reed City Hospital Corporation CurrentSince Jul 11, 2022 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Jul 11, 2022 Accepting new patients
Reed City Hospital Corporation CurrentSince Jul 11, 2022 Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Aug 21, 2017 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Jul 11, 2022 Accepting new patients

Locations

3180 Solutions Ctr
Chicago, IL 60677

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

145 Michigan St NE
Ste 5200
Grand Rapids, MI 49503
Phone (616) 486-5933

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

200 N Park St
Kalamazoo, MI 49007
Phone (269) 373-7453

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

711 S Health Parkway
Ste 3
Three Rivers, MI 49093
Phone (269) 273-8557

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-8557

711 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

1560 E Maple Rd
Ste 400
Troy, MI 48083

Interoperability endpoints

  • Direct secure messaging: mthakur260174@epic00.corewelldirect.org
  • Direct secure messaging: mthakur260174@epic00.shdirect.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1093022386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MICHIGAN ST NE STE 5200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032565",
            "telephone_number": "616-486-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "MANISH",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301095883",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "MI",
            "license": "4301095883",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MI",
            "license": "4301095883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mthakur260174@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "145 Michigan St NE Ste 5200",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495032565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "145 Michigan St NE Ste 5200",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495032565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.