NPIMap

Organization Active NPI

Mercy Health Partners Sub-Specialty Services

Doing business as Trinity Health Medical Group

  • Internal Medicine Physician
  • Muskegon, MI
National Provider Identifier
1124042700
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES
Doing business as
Trinity Health Medical Group
Practice address
1560 E Sherman Blvd Ste 250
Muskegon, MI 49444-1854
Phone
(231) 675-8145
Fax
(231) 672-6179
NPI assigned
Jul 27, 2006
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HEALTH PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Michael Gusho
Title
Chief Financial Officer
Phone
(734) 398-0642

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU
Physician Assistant 363A00000X MI
Nurse Practitioner 363L00000X MI
Internal Medicine Physician 207R00000X MI Primary
Pulmonary Disease Physician 207RP1001X NU
Surgery Physician 208600000X MI
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MI
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU
Pediatric Sleep Medicine Physician 2080S0012X NU

Addresses

Primary practice location

1560 E Sherman Blvd Ste 250
Muskegon, MI 49444-1854

Mailing address

PO Box 776982
Chicago, IL 60677-1847
Phone (800) 494-5797

Other practice location 1

1277 Mercy Dr
Muskegon, MI 49444-4605
Phone (231) 672-6186 ext. 2

Other practice location 2

1560 E Sherman Blvd Ste 309
Muskegon, MI 49444-1850
Phone (231) 672-8643

Other practice location 3

1212 E Sherman Blvd
Muskegon, MI 49444-1879
Phone (231) 672-3648

Other names 2

  • Trinity Health Medical Group Doing business as
  • Mercy Heart Center Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804000803 MI Part B Supplier - Clinic/Group Practice 3274504105 Receives reassigned benefits from 64 practitioners
Practice locations: Muskegon, MI; Grand Haven, MI

National Provider Directory

National Provider Directory
Part of
Mercy Hospital Muskegon

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1310 Wisconsin St
Ste 200
Grand Haven, MI 49417
Phone (616) 296-1640

1445 Sheldon Rd
Ste 200
Grand Haven, MI 49417
Phone (616) 846-1860

1212 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3500

1277 Mercy Dr
Muskegon, MI 49444
Phone (231) 672-6186

1277 Mercy Dr
Slp Ctr
Muskegon, MI 49444
Phone (231) 672-6186

Practitioners & affiliated clinicians

Practitioners 89

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 89

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1124042700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776982",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771847",
            "telephone_number": "800-494-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E SHERMAN BLVD STE 250",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441854",
            "telephone_number": "231-675-8145",
            "fax_number": "231-672-6179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1277 Mercy Dr",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494444605",
            "country_code": "US",
            "telephone_number": "231-672-6186 x2",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1560 E Sherman Blvd Ste 309",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441850",
            "country_code": "US",
            "telephone_number": "231-672-8643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 E Sherman Blvd",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441879",
            "country_code": "US",
            "telephone_number": "231-672-3648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH PARTNERS",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "GUSHO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "734-398-0642"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trinity Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Heart Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.