Individual provider Active NPI

Kim Alan Mills, MD

  • Cytopathology Physician
  • Kalamazoo, MI
National Provider Identifier
1386637692
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
4301056895 Issued in MI
Practice address
601 John St
Kalamazoo, MI 49007-5341
Phone
(269) 341-7654
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4301056895 MI
Cytopathology Physician 207ZC0500X 4301056895 MI Primary

Addresses

Primary practice location

601 John St
Kalamazoo, MI 49007-5341

Mailing address

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

Other practice location 1

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-7166

Other practice location 2

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-6258

Other identifiers 1

IdentifierTypeStateIssuer
4933715MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kmills1499@direct.metrohealth.net
Direct Messaging Address kmills37931@direct.trinity-health.org

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
I20060424000259 MI Practitioner - Pathology 3577455203 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Pathology Specialists PCGroup PAC ID 4789576414, 31 clinicians

Practice addresses (Care Compare)

35 Michigan St NE
Spectrum Health Reg Laboratory
Grand Rapids, MI 49503-2514
Phone (616) 267-2350

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Corewell Health Big Rapids Hospital Hospital, Big Rapids, MI, CCN 230093
  • Corewell Health Ludington Hospital Hospital, Ludington, MI, CCN 230110
  • Mercy Health Saint Mary'S Hospital, Grand Rapids, MI, CCN 230059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301056895MIMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of Grand Rapids, P.C. Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2018 Accepting new patients
Michigan Urological Clinic CurrentSince Feb 14, 2011 Accepting new patients
Pathology Laboratory, P.C. Anatomic Pathology & Clinical Pathology CurrentSince Jan 30, 2006 Accepting new patients
Urology Surgeons PC CurrentSince Apr 9, 2012 Accepting new patients
Spectrum Health Hospitals Current Accepting new patients
Patholgy Services of Kalamazoo, PC Anatomic Pathology & Clinical Pathology CurrentSince Sep 6, 2016 Accepting new patients
Michigan Pathology Specialists PC Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2024 Accepting new patients
Diagnostic Pathology Services of Southwest Michigan PC Anatomic Pathology & Clinical Pathology Current Accepting new patients

Locations

35 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-2200

25 Michigan St NE
Ste 3300
Grand Rapids, MI 49503
Phone 6164594171116

2620 Horizon Dr SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 530-3344

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

2332 Alpine Ave NW
Grand Rapids, MI 49544
Phone (616) 363-3311

1000 East Paris Ave SE
Ste 230
Grand Rapids, MI 49546
Phone (616) 942-1660

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

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

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

2990 Franklin Ave SW
Grandville, MI 49418
Phone (616) 530-3344

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

418 Washington St
Lakeview, MI 48850
Phone (989) 352-6474

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

2122 Health Dr SW
Wyoming, MI 49519
Phone (616) 252-5950

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

5700 Southwyck Blvd
Toledo, OH 43614

Interoperability endpoints

  • Direct secure messaging: kmills37931@direct.trinity-health.org
  • FHIR API: https://app.meldrx.com/api/fhir/uc29598_michiganurologicalclinic

Organizations & group practices 10

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 5

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1386637692",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-7654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Byron Center Ave SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495199606",
            "country_code": "US",
            "telephone_number": "616-252-7166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Jefferson Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495034502",
            "country_code": "US",
            "telephone_number": "616-685-6258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "KIM",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301056895",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "MI",
            "license": "4301056895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4933715",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmills1499@direct.metrohealth.net",
            "affiliation": "N",
            "address_1": "5900 Byron Center Ave SW",
            "city": "Wyoming",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495199606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmills37931@direct.trinity-health.org",
            "affiliation": "N",
            "address_1": "200 Jefferson Ave SE",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495034502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.