Individual provider Active NPI

Thomas J Maatman, D.O.

  • Urology Physician
  • Grand Rapids, MI
National Provider Identifier
1376501502
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5101007634 Issued in MI
Practice address
4047 E. Hills Court SE
Grand Rapids, MI 49546-6249
Phone
(616) 956-9577
Fax
(616) 956-5988
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 5101007634 MI Primary

Addresses

Primary practice location

4047 E. Hills Court SE
Grand Rapids, MI 49546-6249

Mailing address

4047 E Hills CT SE
Grand Rapids, MI 49546-6249
Phone (616) 956-9577

Other practice location 1

4047 Saladin Dr SE
Grand Rapids, MI 49546-6249
Phone (616) 956-9577

Other identifiers 2

IdentifierTypeStateIssuer
5411590OtherPTAN
1973261MedicaidMI

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
I20080404000141 MI Practitioner - Urology 0345211348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Michigan State University College of Osteopathic Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Institute of Urology PCGroup PAC ID 1052223492, 82 clinicians
Center for Physical Rehabilitation IncGroup PAC ID 6901717768, 352 clinicians
Center for Physical Rehabilitation and Therapy LPGroup PAC ID 0941513303, 365 clinicians

Practice addresses (Care Compare)

4047 E Hills CT SE
Grand Rapids, MI 49546-6249
Phone (616) 956-9577

5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808

5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101007634MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Urological Clinic Urology CurrentSince Oct 1, 2007 Accepting new patients
Michigan Institute of Urology PC Urology CurrentSince Jul 1, 2025 Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology CurrentSince Jul 1, 2025 Accepting new patients
Metropolitan Hospital Past Accepting new patients

Locations

4150 S River Rd
Ste C
East China, MI 48054
Phone (576) 771-4820

4047 E Hills Ct SE
Grand Rapids, MI 49546
Phone (616) 956-9577

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc29598_michiganurologicalclinic

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 7

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1376501502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 E HILLS CT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466249",
            "telephone_number": "616-956-9577",
            "fax_number": "616-956-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 E. HILLS COURT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466249",
            "telephone_number": "616-956-9577",
            "fax_number": "616-956-5988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4047 Saladin Dr SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495466249",
            "country_code": "US",
            "telephone_number": "616-956-9577",
            "fax_number": "616-956-5988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAATMAN",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "5101007634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5411590",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1973261",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.