Individual provider Active NPI

Eryn Jennifer Hart, D.O.

  • Maternal & Fetal Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1184808651
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
5101016371 Issued in MI
Practice address
25 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2572
Phone
(616) 391-3681
NPI assigned
Dec 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 5101016371 MI Primary
Maternal & Fetal Medicine Physician 207VM0101X 02007617A IN
Obstetrics Physician 207VX0000X 5101016371 MI

Addresses

Primary practice location

25 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2572

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other practice location 1

8081 Township Line Rd Ste 203
Indianapolis, IN 46260-2189
Phone (317) 415-8100

Other names 1

  • Dr. Eryn Jennifer Hart Dutta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI, FL, CA, LA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20130916000126 TX Practitioner - Obstetrics/Gynecology 3072557388 Reassigns benefits to 1 organization
I20180222000528 MI Practitioner - Obstetrics/Gynecology 3072557388 Reassigns benefits to 6 organizations
I20250228001798 FL Practitioner - Obstetrics/Gynecology 3072557388
I20250312001049 CA Practitioner - Obstetrics/Gynecology 3072557388 Reassigns benefits to 1 organization
I20250319003996 LA Practitioner - Obstetrics/Gynecology 3072557388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan College of Medicine and Surgery, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115

25 Michigan St NE
Corewell Health Medical Group West
Grand Rapids, MI 49503-2515
Phone (616) 267-8950

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101016371MIMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center CurrentSince Mar 1, 2018 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Dec 27, 2021 Accepting new patients
Access Telecare, PLLC Maternal & Fetal Medicine CurrentSince Sep 7, 2023 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Aug 1, 2022 Accepting new patients
Munson Medical Center Current Accepting new patients
Spectrum Health Hospitals CurrentSince Dec 27, 2021 Accepting new patients
Spectrum Health Hospitals Obstetrics & Gynecology CurrentSince Dec 27, 2021 Accepting new patients
Pennock Hospital CurrentSince Aug 1, 2022 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Aug 1, 2022 Accepting new patients
Pennock Hospital CurrentSince Aug 1, 2022 Accepting new patients
Spectrum Health Primary Care Partners Obstetrics & Gynecology CurrentSince Dec 27, 2021 Accepting new patients
Munson Medical Center CurrentSince Mar 1, 2018 Accepting new patients
Access Telecare California, P.C. Maternal & Fetal Medicine CurrentSince Mar 5, 2025 Accepting new patients

Locations

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

221 Michigan St NE
Ste 600
Grand Rapids, MI 49503
Phone (616) 774-7035

80 68th St SE
Ste 301
Grand Rapids, MI 49548
Phone (616) 391-3302

25 Michigan St NE
Ste 5200
Grand Rapids, MI 49503
Phone (616) 391-3681

330 Barclay Ave NE
Ste 304
Grand Rapids, MI 49503
Phone (616) 391-2160

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

4249 Parkway Place Dr SW
Ste C
Grandville, MI 49418
Phone (616) 774-7035

1005 W Green St
Ste 301
Hastings, MI 49058
Phone (269) 945-2419

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

3220 Discovery Dr
Ste 210
Lansing, MI 48910
Phone (517) 484-0004

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

7 Atkinson Dr
Ste 200
Ludington, MI 49431
Phone (231) 843-2664

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

1221 Sixth St
Ste 212
Traverse City, MI 49684
Phone (231) 392-0210

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

Interoperability endpoints

  • Direct secure messaging: ehartdutta297628@epic00.corewelldirect.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1184808651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MICHIGAN ST NE STE 5200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032572",
            "telephone_number": "616-391-3681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8081 Township Line Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602189",
            "country_code": "US",
            "telephone_number": "317-415-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "ERYN",
        "middle_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MI",
            "license": "5101016371",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IN",
            "license": "02007617A",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MI",
            "license": "5101016371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERYN",
            "last_name": "HART DUTTA",
            "middle_name": "JENNIFER",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.