Individual provider Active NPI

Kevin Joseph Hayes, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Grand Rapids, MI
National Provider Identifier
1225254477
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
5101016402 Issued in MI
Practice address
3300 Eagle Run Dr NE Ste 103
Grand Rapids, MI 49525-7069
Phone
(616) 234-2830
Fax
(616) 234-2829
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 5101016402 MI Primary

Addresses

Primary practice location

3300 Eagle Run Dr NE Ste 103
Grand Rapids, MI 49525-7069

Mailing address

804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 884-2976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20131114000759 AL Practitioner - Osteopathic Manipulative Medicine 7214080217 Reassigns benefits to 2 organizations
I20181005000836 MI Practitioner - Osteopathic Manipulative Medicine 7214080217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Michigan State University College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Pediatric and Adult Medicine, L.L.C.Group PAC ID 1557452752, 18 clinicians

Practice addresses (Care Compare)

560 Devall Dr
Suite 201
Auburn, AL 36832-6655
Phone (334) 887-8707

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority CurrentSince Oct 1, 2013 Accepting new patients
Auburn Pediatric and Adult Medicine, L.L.C. CurrentSince Mar 1, 2023 Accepting new patients
Michigan State University CurrentSince Oct 1, 2018 Accepting new patients
Michigan State University Current Accepting new patients
Michigan State University Neuromusculoskeletal Medicine & Omm CurrentSince Oct 1, 2018 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Houston County Healthcare Authority Current Accepting new patients

Locations

2353 Bent Creek Rd
Ste 110
Auburn, AL 36830
Phone (334) 887-8707

560 Devall Dr
Ste 201
Auburn, AL 36832
Phone (334) 887-8707

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1118 Ross Clark Cir
Ste 500
Dothan, AL 36301
Phone (334) 794-4159

804 Service Rd
Ste A109F
East Lansing, MI 48824

804 Service Rd
#A109F
East Lansing, MI 48824
Phone (517) 884-2976

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560

Interoperability endpoints

  • Direct secure messaging: kevinhayes@apaam.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1225254477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A109B",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-884-2976",
            "fax_number": "517-432-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 EAGLE RUN DR NE STE 103",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257069",
            "telephone_number": "616-234-2830",
            "fax_number": "616-234-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101016402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.