Advantage Health/Saint Mary'S Medical Group
Organization Active NPI Multi-Specialty Clinic/Center · Grand Rapids, MI
NPI 1376862151 · NPPES record last updated Mar 5, 2026
Key facts
- NPI
- 1376862151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP
- Practice address
- 245 State St SE
Grand Rapids, MI 49503-4328 - Phone
- (616) 685-8050
- Fax
- (616) 685-1850
- NPI assigned
- May 19, 2010
- Organization subpart
- No
Authorized official
- Name
- Daniel Green
- Title
- VP Finances GR
- Phone
- (616) 685-6709
Other NPIs on the same Medicare enrollment 6
Practitioners 904
-
Eyad Abu-Isa, MD
-
Laura Ackerman, CFNP
-
Miriam Adrianson, MD
-
Martin Aramburu, M.D.
-
Alison Aubry, NP
-
Maha Ayashi, MD
-
Jacob John Baker, MD, PHD
-
Randal Baker, MD
-
Jody Banister, MD
-
Sarna R Becker, MD
-
Sarah D Bell, DO
-
Derek Paul Bergsma, M.D.
-
Michael C Bishop, MD
-
Nicholas William Blank, M.D.
-
Nirali Bora, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101023000279 | MI | Part B Supplier - Clinic/Group Practice | 4082807961 |
Receives reassigned benefits from 897 practitioners 6 other NPIs on this enrollment Practice locations: Grand Rapids, MI; Grandville, MI; Hudsonville, MI; Jenison, MI; Kentwood, MI; Rockford, MI; Sparta, MI; Walker, MI… |
National Provider Directory
Locations
3925 32nd Ave
Ste 300
Hudsonville, MI 49426
Phone (616) 685-1500
6050 Northland Dr NE
Ste 200
Rockford, MI 49341
Phone (616) 685-8350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
245 State St SE
Grand Rapids, MI 49503-4328
Mailing address
PO Box 776974
Chicago, IL 60677-6974
Phone (800) 494-5797
Other practice location 1
2373 64th St SW
Byron Center, MI 49315-7974
Phone (616) 685-8750
Other names
- Trinity Health Medical Group
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Grand Rapids, MI
- Advanced Radiology Services PC
- Advantage Chiropractic PC
- Advantage Health Physicians PC
- Advantage Health Saint Mary'S Medical Group
- Advantage Health Saint Mary'S Medical Group
- Advantage Health/Saint Mary'S Medical Group
- Advent Rehabilitation, LLC
- Advent Rehabilitation, LLC
- Advisacare Healthcare Solutions, Inc.
- Mary Beth Adyniec
All providers in Grand Rapids, MI · Multi-Specialty Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.