Individual provider Active NPI

Mark C Rummel, M.D.

  • Vascular Surgery Physician
  • Kalamazoo, MI
National Provider Identifier
1285698134
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
4301077672 Issued in MI
Practice address
1815 Henson Ave
Kalamazoo, MI 49048-1510
Phone
(269) 633-2513
Fax
(269) 633-2514
NPI assigned
Apr 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 4301077672 MI Primary

Addresses

Primary practice location

1815 Henson Ave
Kalamazoo, MI 49048-1510

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-2713

Other practice location 1

601 S Health Parkway
Three Rivers, MI 49093-8351
Phone (269) 633-2075

Other practice location 2

2845 Capital Ave SW
Battle Creek, MI 49015-4185
Phone (269) 633-2061

Other practice location 3

104 S Lakeview Ave
Sturgis, MI 49091-1947
Phone (269) 633-2068

Other practice location 4

199 Veterans Blvd
South Haven, MI 49090-8652
Phone (269) 633-2066

Other practice location 5

711 S Health Parkway
Three Rivers, MI 49093-9387
Phone (269) 633-2070

Other practice location 6

360 E Chicago St Ste 103
Coldwater, MI 49036-2086
Phone (269) 633-2063

Other practice location 7

730 Airway Dr
Allegan, MI 49010-8507
Phone (269) 895-0358

Other practice location 8

570 Linn St Ste 1
Allegan, MI 49010-1572
Phone (269) 895-0613

Other identifiers 5

IdentifierTypeStateIssuer
37-30033OtherMIIBA
1285698134MedicaidMI
5895175OtherMIAETNA
P111970OtherMIBLUE CARE NETWORK
1417961137OtherMIBCBSM - BMH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address advancedvascularsurgery.markcrummel@136223.advancedmd-direct.com Direct
Direct Messaging Address direct@direct.bronsonhg.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040818000729 MI Practitioner - Vascular SurgeryPractitioner - Peripheral Vascular Disease 5395726384 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Peripheral Vascular Disease
Education
Eastern Virginia Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Health PCGroup PAC ID 1658283007, 52 clinicians
Ascension Borgess HospitalGroup PAC ID 5294645750, 41 clinicians

Practice addresses (Care Compare)

104 S Lakeview Ave
Sturgis, MI 49091-1947
Phone (269) 492-6500

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

1815 Henson Ave
Kalamazoo, MI 49048-1510
Phone (269) 492-6502

601 John St
Kalamazoo, MI 49007-5341
Phone (269) 492-6500

601 S Health Pkwy
Three Rivers, MI 49093-8351
Phone (269) 492-6500

730 Airway Dr
Allegan, MI 49010-8507
Phone (269) 492-6500

Hospital & facility affiliations

  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal22
Leg revascularization (restoring blood flow)21
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Borgess Hospital CurrentSince May 1, 2009 Accepting new patients
Ascension Borgess Hospital CurrentSince May 1, 2009 Accepting new patients
Bronson Methodist Hospital CurrentSince Dec 15, 2010 Accepting new patients
Paragon Health PC CurrentSince Jul 5, 2004 Accepting new patients
Paragon Health, PC Vascular Surgery CurrentSince Jul 5, 2004 Accepting new patients
Paragon Health, PC Past Accepting new patients

Locations

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

3630 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 966-1460

360 E Chicago St
Ste 103
Coldwater, MI 49036
Phone (517) 278-2970

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

1815 Henson Ave
Kalamazoo, MI 49048
Phone (269) 492-6502

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

199 Veterans Blvd
South Haven, MI 49090
Phone (269) 639-1800

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1285698134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HENSON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481510",
            "telephone_number": "269-633-2513",
            "fax_number": "269-633-2514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S Health Parkway",
            "address_purpose": "LOCATION",
            "city": "Three Rivers",
            "state": "MI",
            "postal_code": "490938351",
            "country_code": "US",
            "telephone_number": "269-633-2075",
            "fax_number": "269-633-2076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2845 Capital Ave SW",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490154185",
            "country_code": "US",
            "telephone_number": "269-633-2061",
            "fax_number": "269-633-2062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 S Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Sturgis",
            "state": "MI",
            "postal_code": "490911947",
            "country_code": "US",
            "telephone_number": "269-633-2068",
            "fax_number": "269-633-2069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "199 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "South Haven",
            "state": "MI",
            "postal_code": "490908652",
            "country_code": "US",
            "telephone_number": "269-633-2066",
            "fax_number": "269-633-2067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 S Health Parkway",
            "address_purpose": "LOCATION",
            "city": "Three Rivers",
            "state": "MI",
            "postal_code": "490939387",
            "country_code": "US",
            "telephone_number": "269-633-2070",
            "fax_number": "269-633-2074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 E Chicago St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Coldwater",
            "state": "MI",
            "postal_code": "490362086",
            "country_code": "US",
            "telephone_number": "269-633-2063",
            "fax_number": "269-633-2065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Airway Dr",
            "address_purpose": "LOCATION",
            "city": "Allegan",
            "state": "MI",
            "postal_code": "490108507",
            "country_code": "US",
            "telephone_number": "269-895-0358",
            "fax_number": "269-895-0359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Linn St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Allegan",
            "state": "MI",
            "postal_code": "490101572",
            "country_code": "US",
            "telephone_number": "269-895-0613",
            "fax_number": "269-895-0614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUMMEL",
        "first_name": "MARK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-15",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301077672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBA",
            "identifier": "37-30033",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285698134",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5895175",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P111970",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM - BMH",
            "identifier": "1417961137",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "advancedvascularsurgery.markcrummel@136223.advancedmd-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1815 Henson Ave",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490481510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1815 Henson Ave",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490481510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.