Active NPI
Erik Hedlund, DO
- Sports Medicine (Orthopaedic Surgery) Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 5101013947
- Practice address
- 1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406 - Phone
- (616) 459-7101
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5101013947 | MI | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 5101013947 | MI | Primary |
Addresses
Primary practice location
1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406
Mailing address
1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406
Phone (616) 459-7101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D14869120 | Other | MI | MEDICARE PTAN |
| PO1223799 | Other | MI | MEDICARE RAILROAD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Chicago College of Osteopathy, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Physical Rehabilitation Inc
Practice addresses (Care Compare)
1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406
Phone (616) 459-7101
5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808
5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808
5900 Byron Ctr Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-7200
781 36TH St SE
Metro HLTH Comm Clinic
Wyoming, MI 49548-2319
Phone (616) 252-4100
Hospital & facility affiliations
- University of Michigan Health - West
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101013947 | MI | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates of Grand Rapids, PC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedic Associates of Grand Rapids PC | Orthopaedic Surgery | Current | Accepting new patients |
| Metropolitan Hospital | Current | Accepting new patients | |
| Metropolitan Hospital | Current | Accepting new patients | |
| Metropolitan Hospital | Past | Accepting new patients |
Locations
4200 Division Ave N
Comstock Park, MI 49321
Phone (616) 252-1600
1111 Leffingwell Ave NE
Grand Rapids, MI 49525
Phone 61645971011381
1111 Leffingwell Ave NE
Ste 100
Grand Rapids, MI 49525
Phone 61645971011381
4300 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 252-1500
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
781 36th St SE
Wyoming, MI 49548
Phone (616) 252-4100
2215 44th St SW
Ste 100
Wyoming, MI 49519
Phone (616) 252-8300
Interoperability endpoints
- erik.hedlund.p1@direct.oam.nextgenshare.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
- Orthopaedic Surgery Physician
- Grand Rapids, MI
- NPI 1023021300
-
- Physical Therapy Clinic/Center
- Grand Rapids, MI
- NPI 1902288863
-
- Family Medicine Physician
- Wyoming, MI
- NPI 1114947538
-
- Durable Medical Equipment & Medical Supplies
- Grand Rapids, MI
- NPI 1740532035
Orthopaedic Surgery
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1104864560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 LEFFINGWELL AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495256406",
"telephone_number": "616-459-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 LEFFINGWELL AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495256406",
"telephone_number": "616-459-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDLUND",
"first_name": "ERIK",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101013947",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MI",
"license": "5101013947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "D14869120",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "PO1223799",
"state": "MI"
}
],
"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 Jan 3, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.