Individual provider Active NPI

Michael J Dandois, D.O.

  • Family Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1114988359
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101008731 Issued in MI
Practice address
6565 W Main St
Kalamazoo, MI 49009-6114
Phone
(269) 375-0400
Fax
(269) 372-8484
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 5101008731 MI Primary

Addresses

Primary practice location

6565 W Main St
Kalamazoo, MI 49009-6114

Mailing address

6565 W Main St
Kalamazoo, MI 49009-6114
Phone (269) 375-0400

Other identifiers 1

IdentifierTypeStateIssuer
2927325MedicaidMI

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
I20100817000677 MI Practitioner - Family Practice 4587612825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

6565 W Main St
Kalamazoo, MI 49009-6114
Phone (269) 381-7380

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101008731MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed Family Medicine CurrentSince Jun 25, 2018 Accepting new patients
Promed Healthcare CurrentSince Jun 25, 2018 Accepting new patients

Locations

6565 W Main St
Kalamazoo, MI 49009
Phone (269) 375-0400

6565 W Main St
Ste 200
Kalamazoo, MI 49009
Phone (616) 372-2860

2520 Robert Jones Way
Kalamazoo, MI 49009
Phone (269) 375-0400

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114988359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490096114",
            "telephone_number": "269-375-0400",
            "fax_number": "269-372-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490096114",
            "telephone_number": "269-375-0400",
            "fax_number": "269-372-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDOIS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2927325",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.