Individual provider Active NPI

James Calvin Niewenhuis, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Grand Haven, MI
National Provider Identifier
1356367924
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
4301055088 Issued in MI
Practice address
1309 Sheldon Rd
Grand Haven, MI 49417-2404
Phone
(616) 847-5257
Fax
(419) 866-5453
NPI assigned
Jul 15, 2006
Last updated
Jun 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4301055088 MI Primary

Addresses

Primary practice location

1309 Sheldon Rd
Grand Haven, MI 49417-2404

Mailing address

5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325

Other identifiers 4

IdentifierTypeStateIssuer
220A360180OtherMIBCBSM
220A360250OtherMIBCBSM
220B376060OtherMIBCBSM
4197568MedicaidMI

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
I20090213000534 MI Practitioner - Pathology 2062451719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.98 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Pathology Specialists PC Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2019 Accepting new patients
Patholgy Services of Kalamazoo, PC Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2012 Accepting new patients
Diagnostic Pathology Services of Southwest Michigan PC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Pathology Associates of Grand Rapids, P.C. Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

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

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

145 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 486-5700

1840 Wealthy St SE
Grand Rapids, MI 49506
Phone (616) 391-1730

35 Michigan St NE
Ste MC56
Grand Rapids, MI 49503

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

1009 W Green St
Hastings, MI 49058
Phone (269) 945-1212

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

8333 Felch St
Ste 1
Zeeland, MI 49464

5700 Southwyck Blvd
Toledo, OH 43614

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1356367924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-288-8325",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 SHELDON RD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172404",
            "telephone_number": "616-847-5257",
            "fax_number": "419-866-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEWENHUIS",
        "first_name": "JAMES",
        "middle_name": "CALVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301055088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "220A360180",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "220A360250",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "220B376060",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4197568",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.