Individual provider Active NPI

Richard Eugene Myers, MD

  • Psychiatry Physician
  • Grand Rapids, MI
National Provider Identifier
1316984354
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301071100 Issued in MI
Practice address
4833 E Meadows CT SE
Grand Rapids, MI 49546-8248
Phone
(616) 288-3939
Fax
(888) 706-7646
NPI assigned
May 31, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21601 NH
Psychiatry Physician 2084P0800X 89189 GA
Psychiatry Physician 2084P0800X D91772 MD
Psychiatry Physician 2084P0800X G53538 CA
Psychiatry Physician 2084P0800X CP207138 OR
Psychiatry Physician 2084P0800X 4301071100 MI Primary

Addresses

Primary practice location

4833 E Meadows CT SE
Grand Rapids, MI 49546-8248

Mailing address

4833 E Meadows CT SE
Grand Rapids, MI 49546-8248
Phone (616) 288-3939

Other practice location 1

105 Jw Plaza Dr SE Ste 5
Calhoun, GA 30701-1503
Phone (706) 466-7076

Other practice location 2

10300 SW Eastridge St
Portland, OR 97225-5004
Phone (503) 944-5000

Other practice location 3

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone (616) 336-3909

Other identifiers 2

IdentifierTypeStateIssuer
3441359MedicaidMI
2604108471OtherMABC/BS

Other names 1

  • Richard Stein Myers Former name

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
I20051110000461 MI Practitioner - Psychiatry 2961420682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Pittsburgh School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

615 E Crosstown Pkwy
Kalamazoo, MI 49001-2501
Phone (269) 373-6000

Merit-based Incentive Payment System (MIPS)

Final score
97.1 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G53538CAMDPsychiatry Physician
D91772MDMDPsychiatry Physician
4301071100MIMDPsychiatry Physician
21601NHMDPsychiatry Physician
CP207138ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo County Community Mental Health Authority CurrentSince Nov 27, 2023 Accepting new patients
Kalamazoo County Community Mental Health Authority CurrentSince Nov 27, 2023 Accepting new patients
Ubh of Oregon, LLC Past Accepting new patients
Michigan State University Kalamazoo Center for Medical Studies PastSince Jun 14, 2024 Accepting new patients

Locations

2030 Portage St
Kalamazoo, MI 49001
Phone (269) 553-7132

418 W Kalamazoo Ave
Kalamazoo, MI 49007
Phone (269) 373-6000

615 E Crosstown Pkwy
Kalamazoo, MI 49001
Phone (269) 373-6000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1316984354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 E MEADOWS CT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468248",
            "telephone_number": "616-288-3939",
            "fax_number": "888-706-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 E MEADOWS CT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468248",
            "telephone_number": "616-288-3939",
            "fax_number": "888-706-7646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Jw Plaza Dr SE Ste 5",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "307011503",
            "country_code": "US",
            "telephone_number": "706-466-7076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10300 SW Eastridge St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972255004",
            "country_code": "US",
            "telephone_number": "503-944-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 Fuller Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495031918",
            "country_code": "US",
            "telephone_number": "616-336-3909",
            "fax_number": "616-336-8830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "RICHARD",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "21601",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "89189",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D91772",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G53538",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "CP207138",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301071100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3441359",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "2604108471",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "MYERS",
            "middle_name": "STEIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.