Individual provider Active NPI

Miranda Rhonda Makulski, DO

  • Family Medicine Physician
  • Battle Creek, MI
National Provider Identifier
1164489316
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101015405 Issued in MI
Practice address
2845 Capital Ave SW Ste 302
Battle Creek, MI 49015-4187
Phone
(269) 979-6333
Fax
(269) 979-6333
NPI assigned
Apr 28, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 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 5101015405 MI Primary

Addresses

Primary practice location

2845 Capital Ave SW Ste 302
Battle Creek, MI 49015-4187

Mailing address

Department 272801
PO Box 67000
Detroit, MI 48267-2728
Phone (517) 629-8311

Other practice location 1

27931 C Dr N
Albion, MI 49224-8402
Phone (517) 629-8311

Other identifiers 1

IdentifierTypeStateIssuer
4762556MedicaidMI

Other names 1

  • Miranda Rhonda Atkins Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct

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
I20050824000806 MI Practitioner - Family Practice 5395776884 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bronson Battle Creek HospitalGroup PAC ID 0547173478, 187 clinicians

Practice addresses (Care Compare)

2845 Capital Ave SW
302 Bronson Internal Medicine Battle Creek
Battle Creek, MI 49015-4187
Phone (269) 979-6333

2900 Watkins Rd
Battle Creek, MI 49015-8604
Phone (269) 979-6888

300 N Ave
Battle Creek, MI 49017-3307

300 N Ave Outpatient Ctr 2ND FL
Bronson Neuroscience Center
Battle Creek, MI 49017-3307
Phone (269) 245-5862

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101015405MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital Family Medicine CurrentSince Feb 4, 2018 Accepting new patients
Bronson South Haven Hospital Family Medicine CurrentSince Aug 19, 2020 Accepting new patients
Bronson Lakeview Hospital Family Medicine CurrentSince Aug 19, 2020 Accepting new patients
Bronson South Haven Hospital CurrentSince Aug 19, 2020 Accepting new patients
Bronson Methodist Hospital CurrentSince Aug 19, 2020 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Feb 4, 2018 Accepting new patients
Bronson Lakeview Hospital CurrentSince Aug 19, 2020 Accepting new patients

Locations

2845 Capital Ave SW
Ste 302
Battle Creek, MI 49015
Phone (269) 324-0799

2900 Watkins Rd
Battle Creek, MI 49015
Phone (269) 245-5430

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

5629 Stadium Dr
Ste D
Kalamazoo, MI 49009
Phone (269) 372-5701

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
#2
Kalamazoo, MI 49007

601 John St
Ste M-020
Kalamazoo, MI 49007
Phone (269) 341-8282

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

451 Health Pkwy
Ste A
Paw Paw, MI 49079
Phone (269) 655-3065

451 Health Pkwy
Ste B
Paw Paw, MI 49079
Phone (269) 655-3065

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org
  • Direct secure messaging: mmakulski97802@direct.bronsonhg.org

Organizations & group practices 7

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 5

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1164489316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT 272801",
            "address_2": "PO BOX 67000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482672728",
            "telephone_number": "517-629-8311",
            "fax_number": "517-629-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 CAPITAL AVE SW STE 302",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154187",
            "telephone_number": "269-979-6333",
            "fax_number": "269-979-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27931 C Dr N",
            "address_purpose": "LOCATION",
            "city": "Albion",
            "state": "MI",
            "postal_code": "492248402",
            "country_code": "US",
            "telephone_number": "517-629-8311",
            "fax_number": "517-629-7952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKULSKI",
        "first_name": "MIRANDA",
        "middle_name": "RHONDA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4762556",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "ATKINS",
            "middle_name": "RHONDA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.