Organization Active NPI

Metropolitan Internists of West Mi

  • Internal Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1265645824
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
METROPOLITAN INTERNISTS OF WEST MI
Practice address
1945 Boston St SE
G2
Grand Rapids, MI 49506-4100
Phone
(616) 452-3399
Fax
(616) 452-9066
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert F Gleffe, DONPI 1205891504
Title
President
Phone
(616) 452-3399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1945 Boston St SE
G2
Grand Rapids, MI 49506-4100

Mailing address

1945 Boston St SE
G2
Grand Rapids, MI 49506-4100
Phone (616) 452-3399

Other identifiers 1

IdentifierTypeStateIssuer
110D11142OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

1838 Baldwin St
Jenison, MI 49428
Phone (616) 301-1702

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265645824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 BOSTON ST SE",
            "address_2": "G2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064100",
            "telephone_number": "616-452-3399",
            "fax_number": "616-452-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 BOSTON ST SE",
            "address_2": "G2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064100",
            "telephone_number": "616-452-3399",
            "fax_number": "616-452-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN INTERNISTS OF WEST MI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLEFFE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-452-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "110D11142",
            "state": "MI"
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.