NPIMap

Organization Active NPI

Paragon Health, PC

Doing business as Paragon Ophthalmology

  • Ophthalmology Physician
  • Kalamazoo, MI
National Provider Identifier
1275582249
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PARAGON HEALTH, PC
Doing business as
Paragon Ophthalmology
Practice address
1052 Gull Rd
Kalamazoo, MI 49048-1734
Phone
(269) 343-1684
Fax
(269) 343-5375
NPI assigned
May 8, 2006
Last updated
Jan 12, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PARAGON HEALTH PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Dr. Mark C. Rummel, M.D.NPI 1285698134
Title
President
Phone
(269) 341-4554

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
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1052 Gull Rd
Kalamazoo, MI 49048-1734

Mailing address

1052 Gull Rd
Kalamazoo, MI 49048-1734
Phone (269) 343-1684

Other identifiers 2

IdentifierTypeStateIssuer
DA0054OtherMIRAILROAD MEDICARE
180C911240OtherMIBCBS

Other names 1

  • Paragon Ophthalmology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040706000913 MI Part B Supplier - Clinic/Group Practice 1658283007 Receives reassigned benefits from 15 practitioners
3 other NPIs on this enrollment
Practice locations: Kalamazoo, MI

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Paragon Health PC8 organizations share this tax ID, including this one
Part of
Paragon Health PC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2889 S 11th St
Kalamazoo, MI 49009
Phone (269) 343-1247

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1275582249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481734",
            "telephone_number": "269-343-1684",
            "fax_number": "269-343-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481734",
            "telephone_number": "269-343-1684",
            "fax_number": "269-343-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON HEALTH, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARAGON HEALTH PC",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "RUMMEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-341-4554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA0054",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "180C911240",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragon Ophthalmology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paragon Ophthalmology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.