Active NPI
Carl Wierks, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 4301096643
- Practice address
- 2144 E Paris Ave SE Ste 240
Grand Rapids, MI 49546-6117 - Phone
- (616) 949-8945
- Fax
- (616) 949-1115
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 4301096643 | MI | Primary |
Addresses
Primary practice location
2144 E Paris Ave SE Ste 240
Grand Rapids, MI 49546-6117
Mailing address
2144 E Paris Ave SE Ste 240
Grand Rapids, MI 49546-6117
Phone (616) 949-8945
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Center for Physical Rehabilitation Inc
Practice addresses (Care Compare)
2144 E Paris Ave SE
Suite 240
Grand Rapids, MI 49546-6117
Phone (616) 949-8945
5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808
5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Michigan Bone & Joint Surgeons PC | Sports Medicine | Current | Accepting new patients |
| West Michigan Surgical Center, LLC | Past | Accepting new patients |
Locations
2144 East Paris Ave SE
Ste 240
Grand Rapids, MI 49546
Phone (616) 949-8945
1000 East Paris Ave SE
Ste 215
Grand Rapids, MI 49546
Phone (616) 279-3725
8300 Logistics Dr
Zeeland, MI 49464
Phone (616) 748-0630
Organizations & group practices 3
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.
-
dba West Michigan Orthopaedics
- Specialist
- Grand Rapids, MI
- NPI 1386756708
Sports Medicine
-
- Physical Therapy Clinic/Center
- Grand Rapids, MI
- NPI 1902288863
-
- Ambulatory Surgical Clinic/Center
- Zeeland, MI
- NPI 1568981975
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1215075106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2144 E PARIS AVE SE STE 240",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466117",
"telephone_number": "616-949-8945",
"fax_number": "616-949-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2144 E PARIS AVE SE STE 240",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466117",
"telephone_number": "616-949-8945",
"fax_number": "616-949-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIERKS",
"first_name": "CARL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MI",
"license": "4301096643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.