Active NPI
Katherine Kelly Hansul, DO
- Obstetrics & Gynecology Physician
- Wyoming, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5101015657
- Practice address
- 2221 Health Dr SW
Wyoming, MI 49519-9700 - Phone
- (616) 532-5025
- Fax
- (616) 301-1915
- NPI assigned
- May 2, 2007
- Last updated
- Dec 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician | 207VH0002X | 5101015657 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | 5101015657 | MI | Primary |
Addresses
Primary practice location
2221 Health Dr SW
Wyoming, MI 49519-9700
Mailing address
5900 Byron Center Ave SW
Medical Administration
Wyoming, MI 49519-9606
Phone (616) 252-3243
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Michigan State University College of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2221 Health Dr SW
Suite 2100
Wyoming, MI 49519-9650
Phone (616) 252-4410
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015657 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Metropolitan Hospital | Current | Accepting new patients | |
| Metropolitan Hospital | Past | Accepting new patients |
Locations
4830 Becker Dr
Allendale, MI 49401
Phone (616) 252-3376
893 E Superior St
Wayland, MI 49348
Phone (616) 252-3400
2221 Health Dr SW
Ste 2100
Wyoming, MI 49519
Phone (616) 252-4410
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100
781 36th St SE
Wyoming, MI 49548
Phone (616) 252-4100
Interoperability endpoints
- khansul904@direct.metrohealth.net
Organizations & group practices 3
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.
-
dba Metro Health Hospital
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
dba Metro Health Community Clinic
- Family Medicine Physician
- Wyoming, MI
- NPI 1114947538
Obstetrics & Gynecology
-
dba Metro Health Hospital
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Metro Health Hospital
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1316169287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BYRON CENTER AVE SW",
"address_2": "MEDICAL ADMINISTRATION",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199606",
"telephone_number": "616-252-3243",
"fax_number": "616-252-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 HEALTH DR SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199700",
"telephone_number": "616-532-5025",
"fax_number": "616-301-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSUL",
"first_name": "KATHERINE",
"middle_name": "KELLY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207VH0002X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
"state": "MI",
"license": "5101015657",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101015657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.