Active NPI
Andrew J Head, M.D.
- Rheumatology Physician
- Grand Rapids, MI
National Provider Identifier
1235323072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 4301083216
- Practice address
- 1155 E Paris Ave SE
Ste 100
Grand Rapids, MI 49546-8368 - Phone
- (616) 459-8088
- Fax
- (616) 459-8312
- NPI assigned
- Sep 5, 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 4301083216 | MI | Primary |
Addresses
Primary practice location
1155 E Paris Ave SE
Ste 100
Grand Rapids, MI 49546-8368
Mailing address
1155 East Paris Ave SE
Ste 100
Grand Rapids, MI 49546-8368
Phone (616) 459-8088
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | andrew.head@wmr.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040817001241 | MI | Practitioner - Rheumatology | 6002889078 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301083216 | MI | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Chester Hospital LLC | Past | Accepting new patients | |
| University of Cincinnati Medical Center, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- West Chester, OH
- NPI 1912285115
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1235323072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 EAST PARIS AVE SE",
"address_2": "STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468368",
"telephone_number": "616-459-8088",
"fax_number": "616-459-8312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 E PARIS AVE SE",
"address_2": "STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468368",
"telephone_number": "616-459-8088",
"fax_number": "616-459-8312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAD",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-05",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MI",
"license": "4301083216",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "andrew.head@wmr.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "West Michigan Rheumatology Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "eCW",
"address_1": "1155 E Paris Ave SE",
"address_2": "Ste 100",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495468368",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 30, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.