Jeremiah J Dewitt, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101019000 Issued in MI

Practice address

1765 3 Mile Rd NE Unit 150319
Grand Rapids, MI 49515-5014

Phone

(616) 272-3533

NPI assigned

Jul 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeremiah.dewitt@337577483108356.direct.elationemr.com

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.

• Inpatient Consultants of Michigan PC

  • Hospitalist Physician
  • Livonia, MI
  • NPI 1861442824
  Medicare reassignment NPD
• Inpatient Consultants of Michigan PC

  • Hospitalist Physician
  • Livonia, MI
  • NPI 1891000964

  Family Medicine

  NPD
• Careline Hmi300 LLC

  dba Optimal Care Hospice

  • Community Based Hospice Care Agency
  • Grand Rapids, MI
  • NPI 1770257818

  Family Medicine

  NPD (past)
• Cloud Health Medical Group of California, P.C.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1194404327

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1255644225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 3 MILE RD NE UNIT 150319",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495155014",
            "telephone_number": "616-272-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 3 MILE RD NE UNIT 150319",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495155014",
            "telephone_number": "616-272-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "JEREMIAH",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101019000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Dewit
• Morgan Dewit, OD
• Brylee Kaylynn Dewitt
• David James Dewitt, M.D.
• Grace Dewitt, LMSW
• Lynn Marie Dewitt, RD
• Tennyson Dewitt, LLPC
• Aditya Vinayak Dewoolkar, MD
• Deacon Ezekiel Dey
• Rebecca Lyn Deyo, DC

• Family Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.

Verify at the official NPI Registry.