Individual provider Active NPI

Neil R See, M.D.

  • Family Medicine Physician
  • Cassopolis, MI
National Provider Identifier
1154394724
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301035249 Issued in MI
Practice address
261 M 62
Cassopolis, MI 49031-1034
Phone
(269) 445-3874
Fax
(269) 445-2076
NPI assigned
Feb 13, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 4301035249 MI Primary

Addresses

Primary practice location

261 M 62
Cassopolis, MI 49031-1034

Mailing address

261 M-62
Cassopolis, MI 49031-1023
Phone (269) 445-3874

Other identifiers 1

IdentifierTypeStateIssuer
289031410MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000187 MI Practitioner - Family Practice 4385635705 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Immediate Care Center CurrentSince Jun 1, 2015 Accepting new patients
Lakeland Immediate Care Center Family Medicine CurrentSince Jun 1, 2015 Accepting new patients
Radiology Associates of Berrien County PC Past Accepting new patients
Niles Professional Services, Inc Past Accepting new patients

Locations

109 School St
Cassopolis, MI 49031
Phone (269) 445-3874

261 M 62
Cassopolis, MI 49031
Phone (269) 445-3874

1951 Oak St
Niles, MI 49120
Phone (269) 262-4749

60 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 683-0300

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cassopolis Family ClinicCassopolis, MI, CCN 231906 Federally qualified health center Corporate Officer (100%) Jan 1, 2020
Niles Community Health CenterNiles, MI, CCN 231023 Federally qualified health center Corporate Officer (100%) Jan 1, 2020
Cass Family Clinic-DowagiacDowagiac, MI, CCN C71045 Federally qualified health center Other Jan 1, 2020

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1154394724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 M-62",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490311023",
            "telephone_number": "269-445-3874",
            "fax_number": "269-445-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 M 62",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490311034",
            "telephone_number": "269-445-3874",
            "fax_number": "269-445-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEE",
        "first_name": "NEIL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301035249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289031410",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cassopolis, MI

Sources for this page

Verify at the official NPI Registry.