Individual provider Active NPI

Lodewijk Jules Van Holsbeeck, M.D.

  • Diagnostic Radiology Physician
  • Saginaw, MI
National Provider Identifier
1285864272
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301095013 Issued in MI
Practice address
3400 N Center Rd Ste 400
Saginaw, MI 48603-7920
Phone
(989) 753-5600
Fax
(989) 799-7430
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301095013 MI Primary

Addresses

Primary practice location

3400 N Center Rd Ste 400
Saginaw, MI 48603-7920

Mailing address

1104 Plymouth Ave SE
Grand Rapids, MI 49506-6528

Other identifiers 1

IdentifierTypeStateIssuer
1285864272MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic and Therapeutic ImagingGroup PAC ID 1052834660, 2 clinicians
Basha Diagnostics P CGroup PAC ID 5890681746, 28 clinicians

Practice addresses (Care Compare)

24555 Hallwood CT
Farmington Hills, MI 48335-1667
Phone (888) 405-5857

30701 Woodward Ave
Suite LL
Royal Oak, MI 48073-0988
Phone (248) 288-1600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301095013MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic and Therapeutic Imaging Diagnostic Radiology CurrentSince Jan 14, 2025 Accepting new patients
Art of Radiology Imaging Associates, PLLC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Basha Diagnostics P C Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Genesys Integrated Group Practice PC Past Accepting new patients
Msu Health Care Inc. Diagnostic Radiology Past Accepting new patients

Locations

24555 Hallwood Ct
Farmington Hills, MI 48335
Phone (248) 238-9772

30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

Interoperability endpoints

  • Direct secure messaging: lvanholsbeeck1156308@direct.hfhs.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1285864272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 PLYMOUTH AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495066528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N CENTER RD STE 400",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486037920",
            "telephone_number": "989-753-5600",
            "fax_number": "989-799-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HOLSBEECK",
        "first_name": "LODEWIJK",
        "middle_name": "JULES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301095013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285864272",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.