NPIMap

Individual provider Active NPI

Kevin Clark Reed, DO

  • Internal Medicine Physician
  • Greenville, MI
National Provider Identifier
1194771980
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101010953 Issued in MI
Practice address
707 S Greenville West Dr
Greenville, MI 48838-3514
Phone
(616) 754-3001
Fax
(616) 754-3828
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 12

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 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Physical Rehabilitation Inc 352 clinicians
Center for Physical Rehabilitation and Therapy LP 365 clinicians
Spectrum Health United 90 clinicians

Practice addresses (Care Compare)

5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808

5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808

615 S Bower St
Greenville, MI 48838-2614

707 S Greenville W Dr
Im/Peds
Greenville, MI 48838-3514
Phone (616) 225-6477

Hospital & facility affiliations

  • Mary Free Bed at Home, LLC Home health agency, Grand Rapids, MI, CCN 237203
  • Corewell Health Visiting Nurse Association Home health agency, Grand Rapids, MI, CCN 237007
  • Elara Caring Home health agency, Jackson, MI, CCN 237274
  • Interim Healthcare of West Michigan Home health agency, Grand Rapids, MI, CCN 239282
  • Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Corewell Health Big Rapids Hospital Hospital, Big Rapids, MI, CCN 230093
  • Atrium Health Cleveland Hospital, Shelby, NC, CCN 340021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000988 MI Practitioner - Internal Medicine 5395728992 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101010953MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health United CurrentSince Jan 11, 2016 Accepting new patients
Spectrum Health United CurrentSince Jan 11, 2016 Accepting new patients
Michigan Medical Patient Care Past Accepting new patients
Montcalm Primary Care Partners Internal Medicine Past Accepting new patients
Ambulatory United Past Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

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

707 S Greenville West Dr
Greenville, MI 48838
Phone (616) 284-8856

1208 W Oak St
Greenville, MI 48838
Phone (616) 225-6990

1202 W Oak St
Greenville, MI 48838
Phone (616) 754-2944

615 S Bower St
Fl Anesthes
Greenville, MI 48838
Phone (616) 754-4691

Interoperability endpoints

  • Direct secure messaging: kreed8860@epic00.corewelldirect.org
  • Direct secure messaging: kevin.reed@epic00.shdirect.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101010953 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

707 S Greenville West Dr
Greenville, MI 48838-3514

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
4761129MedicaidMI

Electronic endpoints 2

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address Kevin.Reed@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2021.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1194771980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S GREENVILLE WEST DR",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488383514",
            "telephone_number": "616-754-3001",
            "fax_number": "616-754-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KEVIN",
        "middle_name": "CLARK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101010953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4761129",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kevin.Reed@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "707 S Greenville West Dr",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488383514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "707 S Greenville West Dr",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488383514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

Verify at the official NPI Registry.