Individual provider Active NPI

Richard Alan Semones, MD

  • Internal Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1356606933
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301101692 Issued in MI
Practice address
4613 W Main St Ste a
Kalamazoo, MI 49006-2698
Phone
(269) 488-8672
NPI assigned
Jul 10, 2012
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301101692 MI
Internal Medicine Physician 207R00000X 4301101692 MI Primary

Addresses

Primary practice location

4613 W Main St Ste a
Kalamazoo, MI 49006-2698

Mailing address

601 John Street
Box 42
Kalamazoo, MI 49007

Other practice location 1

5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009-3016
Phone (269) 552-2836

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

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
I20170127001666 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5193956548 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Louisville School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

4613 W Main St a
Bronson Im and Peds Lifetime Wellness
Kalamazoo, MI 49006-2698
Phone (269) 488-8672

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301101692MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group Michigan Inc Internal Medicine Current Accepting new patients
Bronson Methodist Hospital CurrentSince Jun 17, 2024 Accepting new patients
Promed Healthcare CurrentSince Jan 24, 2017 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Nov 28, 2022 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Nov 28, 2022 Accepting new patients
Ella E M Brown Charitable Circle Internal Medicine Current Accepting new patients
Beacon Medical Group Michigan Inc Internal Medicine CurrentSince Jan 24, 2017 Accepting new patients

Locations

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

4613 W Main St
Ste A
Kalamazoo, MI 49006
Phone (269) 250-8868

601 John St
#42
Kalamazoo, MI 49007
Phone (269) 341-7806

940 John St
Kalamazoo, MI 49001
Phone (269) 343-7296

5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009
Phone (269) 552-2836

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

1717 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5050

1535 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5927

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1356606933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN STREET",
            "address_2": "BOX 42",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 W MAIN ST STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062698",
            "telephone_number": "269-488-8672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5943 Stadium Dr",
            "address_2": "Ste 1",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490093016",
            "country_code": "US",
            "telephone_number": "269-552-2836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMONES",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301101692",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301101692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.