Individual provider Active NPI

Andrew John Kepplinger, DO

  • Hospitalist Physician
  • Zeeland, MI
National Provider Identifier
1184151623
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
5101025781 Issued in MI
Practice address
8300 Westpark Way
Zeeland, MI 49464-7901
Phone
(616) 748-5788
Fax
(616) 748-5787
NPI assigned
May 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5307009420 MI
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X 5101025781 MI Primary

Addresses

Primary practice location

8300 Westpark Way
Zeeland, MI 49464-7901

Mailing address

3612 Fleetwood Dr
Portage, MI 49024-5507
Phone (269) 599-4701

Other practice location 1

1675 Leahy St Ste 201A
Muskegon, MI 49442-5542
Phone (231) 672-7800

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
I20201013003320 MI Practitioner - Internal MedicinePractitioner - Hospitalist 0749600781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5307009420MIMDInternal Medicine Physician
5101025781MIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Jan 9, 2023 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Jan 9, 2023 Accepting new patients
Advantage Health/Saint Mary's Medical Group Current Accepting new patients
Saint Mary's Health Services Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

1675 Leahy St
Ste 201A
Muskegon, MI 49442
Phone (231) 672-6600

Interoperability endpoints

  • Direct secure messaging: akepplinger42781@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1184151623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 FLEETWOOD DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245507",
            "telephone_number": "269-599-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 WESTPARK WAY",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494647901",
            "telephone_number": "616-748-5788",
            "fax_number": "616-748-5787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 Leahy St Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494425542",
            "country_code": "US",
            "telephone_number": "231-672-7800",
            "fax_number": "231-672-7801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEPPLINGER",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5307009420",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "5101025781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

Verify at the official NPI Registry.