NPIMap

Individual provider Active NPI

Sheila Marie Gendich, M.D.

  • Family Medicine Physician
  • Ionia, MI
National Provider Identifier
1124018536
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301058189 Issued in MI
Practice address
910 E Lincoln Ave
Ionia, MI 48846-1393
Phone
(616) 527-2370
Fax
(616) 527-3824
NPI assigned
Oct 26, 2005
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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 4301058189 MI Primary

Addresses

Primary practice location

910 E Lincoln Ave
Ionia, MI 48846-1393

Mailing address

910 E Lincoln Ave
Ionia, MI 48846-1393
Phone (616) 527-2370

Other identifiers 2

IdentifierTypeStateIssuer
0801900322OtherBC
608524300OtherUS DEPT OF LABOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060731000131 MI Practitioner - Family Practice 6901819481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

910 E Lincoln Ave
Ionia, MI 48846-1393
Phone (616) 527-2370

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301058189MIMDFamily Medicine Physician
5101008677MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Life Medical PLLC Family Medicine CurrentSince Feb 26, 2022 Accepting new patients

Locations

910 E Lincoln Ave
Ionia, MI 48846
Phone (616) 527-2370

Interoperability endpoints

  • Direct secure messaging: sheila.gendich.2@12232.direct.athenahealth.com

Organizations & group practices 1

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 10

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1124018536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E LINCOLN AVE",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461393",
            "telephone_number": "616-527-2370",
            "fax_number": "616-527-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E LINCOLN AVE",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461393",
            "telephone_number": "616-527-2370",
            "fax_number": "616-527-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDICH",
        "first_name": "SHEILA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301058189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "0801900322",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "608524300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ionia, MI

Sources for this page

Verify at the official NPI Registry.