Individual provider Active NPI

Sara Ann Dumich, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Byron Center, MI
National Provider Identifier
1093071094
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
4301107540 Issued in MI
Practice address
7751 Byron Center Ave SW Ste a
Byron Center, MI 49315-8001
Phone
(616) 878-3321
NPI assigned
Apr 4, 2012
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301107540 MI
Sports Medicine (Family Medicine) Physician 207QS0010X 4301107540 MI Primary

Addresses

Primary practice location

7751 Byron Center Ave SW Ste a
Byron Center, MI 49315-8001

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150901001016 MI Practitioner - Family PracticePractitioner - Sports Medicine 9133435480 Reassigns benefits to 4 organizations
I20160817000514 IL Practitioner - Family Practice 9133435480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

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

7751 Byron Ctr Ave SW a
Corewell Health Medical Group West
Byron Center, MI 49315-8001
Phone (616) 878-3321

7751 Byron Ctr Ave SW C
Corewell Health Medical Group West
Byron Center, MI 49315-8001
Phone (616) 267-7668

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301107540MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Carle Health Medical Group Family Medicine CurrentSince Oct 5, 2020 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Feb 29, 2024 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 8, 2016 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Sep 1, 2015 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Feb 29, 2024 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Aug 8, 2016 Accepting new patients
Metropolitan Hospital CurrentSince Jan 1, 2018 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

2300 S 1st St
Champaign, IL 61820
Phone (217) 383-9400

29373 Network Pl
Chicago, IL 60673

8175 Reliable Pkwy
Chicago, IL 60686

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

7751 Byron Center Ave SW
Ste A
Byron Center, MI 49315
Phone (616) 267-3321

2900 Hannah Blvd
East Lansing, MI 48823
Phone (517) 336-4520

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

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

1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

2215 44th St SW
Wyoming, MI 49519
Phone (616) 252-8300

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Interoperability endpoints

  • Direct secure messaging: sdumich72800@direct.metrohealth.net
  • Direct secure messaging: sdumichabbott236511@epic00.corewelldirect.org

Organizations & group practices 11

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 3

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1093071094",
    "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": "7751 BYRON CENTER AVE SW STE A",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158001",
            "telephone_number": "616-878-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMICH",
        "first_name": "SARA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301107540",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301107540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

Verify at the official NPI Registry.