Individual provider Active NPI

Alexander James Kelsheimer, D.O.

  • Orthopaedic Hand Surgery Physician
  • Holland, MI
National Provider Identifier
1356723712
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
5101027961 Issued in MI
Practice address
370 120TH Ave
Holland, MI 49424-2120
Phone
(616) 396-2339
Fax
(877) 592-0688
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2021007077 MO
Orthopaedic Hand Surgery Physician 207XS0106X 5101027961 MI Primary

Addresses

Primary practice location

370 120TH Ave
Holland, MI 49424-2120

Mailing address

370 120TH Ave
Holland, MI 49424-2120
Phone (616) 396-2339

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
I20241026000353 MI Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 8123326485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Associates of Muskegon PCGroup PAC ID 7214908045, 113 clinicians
Shoreline Orthopaedic and Sports Medicine Clinic P L CGroup PAC ID 6002891926, 25 clinicians

Practice addresses (Care Compare)

1400 Mercy Dr
Suite 100
Muskegon, MI 49444-1833
Phone (231) 733-1326

370 N 120TH Ave
Suite 20
Holland, MI 49424-2196
Phone (616) 396-5855

Hospital & facility affiliations

  • Holland Hospital Hospital, Holland, MI, CCN 230072
  • Corewell Health Zeeland Hospital Hospital, Zeeland, MI, CCN 230003
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Muskegon, PC Orthopaedic Surgery CurrentSince Apr 1, 2026 Accepting new patients
Orthopaedic Associates of Muskegon, PC Orthopaedic Surgery CurrentSince Apr 1, 2026 Accepting new patients
Shoreline Orthopaedic & Sports Medicine Clinic P L C Orthopaedic Surgery CurrentSince Sep 3, 2024 Accepting new patients
Shoreline Orthopaedic & Sports Medicine Clinic,PLC Orthopaedic Surgery CurrentSince Sep 3, 2024 Accepting new patients

Locations

370 N 120th Ave
Ste 20
Holland, MI 49424
Phone (616) 396-5855

370 N 120th Ave
Holland, MI 49424
Phone (616) 396-5855

3509 Kelly St
Hudsonville, MI 49426
Phone (616) 396-5855

1400 Mercy Dr
Ste 100
Muskegon, MI 49444
Phone (231) 733-1326

8251 Westpark Way
Zeeland, MI 49464
Phone (616) 355-3930

Interoperability endpoints

  • Direct secure messaging: alexander.kelsheimer@sosmc.eclinicaldirectplus.com

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 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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1356723712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242120",
            "telephone_number": "616-396-2339",
            "fax_number": "877-592-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242120",
            "telephone_number": "616-396-2339",
            "fax_number": "877-592-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSHEIMER",
        "first_name": "ALEXANDER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2021007077",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MI",
            "license": "5101027961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.