Active NPI
Matthew Paul Biersack, MD
- Hospitalist Physician
- Grand Rapids, MI
National Provider Identifier
1396944971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 4301090519
- Practice address
- 200 Jefferson SE
Ste 626
Grand Rapids, MI 49503 - Phone
- (616) 685-5000
- Fax
- (616) 685-3063
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301090519 | MI | |
| Hospitalist Physician | 208M00000X | 4301090519 | MI | Primary |
Addresses
Primary practice location
200 Jefferson SE
Ste 626
Grand Rapids, MI 49503
Mailing address
245 State St SE
Ste 221
Grand Rapids, MI 49503
Phone (616) 685-8050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Mary'S Health Services | Past | Accepting new patients | |
| Advantage Health Saint Mary'S Medical Group | Past | Accepting new patients | |
| Trinity Health - Michigan | Past | Accepting new patients |
Interoperability endpoints
- mbiersack23144@direct.trinity-health.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1952340911
-
- Federally Qualified Health Center (FQHC)
- Grand Rapids, MI
- NPI 1902002272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1396944971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 STATE ST SE",
"address_2": "STE 221",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49503",
"telephone_number": "616-685-8050",
"fax_number": "616-685-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 JEFFERSON SE",
"address_2": "STE 626",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49503",
"telephone_number": "616-685-5000",
"fax_number": "616-685-3063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIERSACK",
"first_name": "MATTHEW",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301090519",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "4301090519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.