Active NPI
Courtney Janine Makris, DO
- Obstetrics & Gynecology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5151015011
- Practice address
- 330 Barclay Ave NE Ste 304
Grand Rapids, MI 49503-2527 - Phone
- (616) 391-2160
- Fax
- (616) 391-2683
- NPI assigned
- Apr 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS21682 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | 5151015011 | MI | Primary |
Addresses
Primary practice location
330 Barclay Ave NE Ste 304
Grand Rapids, MI 49503-2527
Mailing address
330 Barclay Ave NE Ste 304
Grand Rapids, MI 49503-2527
Phone (616) 391-2160
Other practice location 1
1447 Medical Park Blvd Ste 300
Wellington, FL 33414-3183
Phone (561) 790-5990
Other names 1
- Courtney Janine Smeriglio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Obstetrics/Gynecology
- Education
- Lake Erie Col of Osteo Med at Seton Hill Univ, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1447 Medical Park Blvd
Suite 300
Wellington, FL 33414-3183
Phone (561) 790-5990
Hospital & facility affiliations
- Wellington Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Woman Care, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233
345 Jupiter Lakes Blvd
Ste 200
Jupiter, FL 33458
Phone (561) 741-1957
1447 Medical Park Blvd
Ste 300
Wellington, FL 33414
Phone (561) 790-5990
Networks
- Freedom Health HMO Network
Interoperability endpoints
- courtney.makris.1@13043.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1386823243
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wellington, FL
- NPI 1720078702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1245819267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BARCLAY AVE NE STE 304",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032527",
"telephone_number": "616-391-2160",
"fax_number": "616-391-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BARCLAY AVE NE STE 304",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032527",
"telephone_number": "616-391-2160",
"fax_number": "616-391-2683"
}
],
"practiceLocations": [
{
"address_1": "1447 Medical Park Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Wellington",
"state": "FL",
"postal_code": "334143183",
"country_code": "US",
"telephone_number": "561-790-5990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKRIS",
"first_name": "COURTNEY",
"middle_name": "JANINE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-06",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS21682",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5151015011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "SMERIGLIO",
"middle_name": "JANINE",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 20, 2024; 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.