Individual provider Active NPI

Nathanial Ray Chumley, MD

  • Family Medicine Physician
  • Holland, MI
National Provider Identifier
1316218571
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301510123 Issued in MI
Practice address
250 E 8TH St
Holland, MI 49423-3535
Phone
(616) 494-5970
Fax
(616) 494-5975
NPI assigned
Jan 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301510123 MI Primary

Addresses

Primary practice location

250 E 8TH St
Holland, MI 49423-3535

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address nchumley@direct.iuhealth.org
Direct Messaging Address nchumley1445954@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150114001856 IN Practitioner - Family Practice 8820234396 Reassigns benefits to 1 organization
I20231016000618 MI Practitioner - Family Practice 8820234396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

250 E 8TH St
Corewell Health Medical Group West
Holland, MI 49423-3535
Phone (616) 494-5970

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. Family Medicine CurrentSince Feb 1, 2015 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Nov 27, 2023 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Nov 27, 2023 Accepting new patients
University Family Physicians, Inc. CurrentSince Feb 1, 2015 Accepting new patients
Major Hospital Past Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

5550 S East St
Ste I
Indianapolis, IN 46227
Phone (317) 780-4080

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

250 E 8th St
Holland, MI 49423
Phone (616) 494-5970

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

Interoperability endpoints

  • Direct secure messaging: nchumley1445954@epic00.corewelldirect.org
  • Direct secure messaging: nchumley@direct.iuhealth.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.

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": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1316218571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 8TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233535",
            "telephone_number": "616-494-5970",
            "fax_number": "616-494-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUMLEY",
        "first_name": "NATHANIAL",
        "middle_name": "RAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-19",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301510123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nchumley@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "5550 S East St",
            "address_2": "Ste I",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462271991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nchumley1445954@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "250 E 8th St",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494233535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "250 E 8th St",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494233535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.