Individual provider Active NPI

Jonathan Patrick Windeler, MD

  • Pediatrics Physician
  • Greenville, MI
National Provider Identifier
1306890850
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
43101070121 Issued in MI
Practice address
615 S Bower St
Greenville, MI 48838-2614
Phone
(616) 754-4691
Fax
(616) 754-3828
NPI assigned
May 20, 2006
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43101070121 MI
Pediatrics Physician 208000000X 43101070121 MI Primary

Addresses

Primary practice location

615 S Bower St
Greenville, MI 48838-2614

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Phone (616) 754-4691

Other identifiers 1

IdentifierTypeStateIssuer
4755865MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Jonathan.Windeler@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

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
I20050304000644 MI Practitioner - Pediatric MedicinePractitioner - Internal Medicine 7719931583 Reassigns benefits to 9 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43101070121MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health United CurrentSince Oct 18, 2021 Accepting new patients
Newaygo County General Hospital Association CurrentSince Sep 1, 2022 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Dec 23, 2022 Accepting new patients
Memorial Medical Center of West Michigan Pediatrics CurrentSince Sep 13, 2022 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Dec 23, 2022 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Dec 23, 2022 Accepting new patients
McLaren Greater Lansing Current Accepting new patients
Mecosta County Medical Center CurrentSince Feb 17, 2023 Accepting new patients
Mecosta County Medical Center Internal Medicine CurrentSince Feb 17, 2023 Accepting new patients
Mecosta County Medical Center Current Accepting new patients
Pennock Hospital Internal Medicine CurrentSince Feb 17, 2023 Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince Dec 23, 2022 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Dec 23, 2022 Accepting new patients
McLaren Greater Lansing Pediatrics CurrentSince Jan 1, 2023 Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince Dec 23, 2022 Accepting new patients
Newaygo County General Hospital Association Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Pennock Hospital Internal Medicine CurrentSince Feb 17, 2023 Accepting new patients
McLaren Greater Lansing Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Sep 13, 2022 Accepting new patients
Ambulatory United Past Accepting new patients
Zeeland Community Hospital Past Accepting new patients
Montcalm Primary Care Partners Internal Medicine Past Accepting new patients
Michigan Medical Patient Care Past Accepting new patients
Pennock Hospital Past Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1202 W Oak St
Greenville, MI 48838
Phone (616) 754-2944

615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

2727 S Pennsylvania Ave
Lansing, MI 48910
Phone (517) 975-3750

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

Interoperability endpoints

  • Direct secure messaging: jonathan.windeler@epic00.shdirect.org
  • Direct secure messaging: jwindeler9404@epic00.corewelldirect.org

Organizations & group practices 25

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1306890850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-754-4691",
            "fax_number": "616-754-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S BOWER ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382614",
            "telephone_number": "616-754-4691",
            "fax_number": "616-754-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDELER",
        "first_name": "JONATHAN",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "43101070121",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "43101070121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4755865",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jonathan.Windeler@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "615 S Bower St",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488382614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "615 S Bower St",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488382614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

Verify at the official NPI Registry.