Active NPI
Joshua D Vanderlugt, MD
- Emergency Medicine Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301086596
- Practice address
- 100 Michigan St NE
Grand Rapids, MI 49503-2560 - Phone
- (616) 391-1680
- NPI assigned
- Apr 10, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301086596 | MI | Primary |
| Anesthesiology Physician | 207L00000X | 4301086596 | MI | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4301086596 | MI |
Addresses
Primary practice location
100 Michigan St NE
Grand Rapids, MI 49503-2560
Mailing address
4100 Embassy Dr SE Ste 400
Grand Rapids, MI 49546-2416
Phone (616) 975-1845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00644992 | Other | MI | RAILROAD MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080119000105 | MI | Practitioner - Emergency Medicine | 7113008814 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1049 E Newell St
White Cloud, MI 49349-8795
Phone (231) 689-7330
212 S Sullivan Ave
Fremont, MI 49412-1548
Phone (866) 270-4203
Hospital & facility affiliations
- Aspirus Keweenaw Hospital and Clinics
- Corewell Health Gerber Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.82 of 100
- Quality
- 92.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.48 of 100
- Quality
- 89.26
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Keweenaw | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Ecs Western Michigan PC | Anesthesiology | Current | Accepting new patients |
| Sic of Michigan, PC | Current | Accepting new patients | |
| Visionary Medical Services PC | Anesthesiology | Current | Accepting new patients |
| Rightcare Clinic PC | Current | Accepting new patients | |
| Newaygo County Mental Health Board | Current | Accepting new patients | |
| Newaygo County Mental Health Board | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079
212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212
854 N Center Ave
Unit 2
Gaylord, MI 49735
Phone (989) 732-0570
4100 Embassy Dr SE
Ste 400
Grand Rapids, MI 49546
Phone (616) 285-8075
743 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 456-9553
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341
N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100
601 S 7th St
Ontonagon, MI 49953
Phone (906) 884-8000
300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271
4290 Copper Ridge Dr
Ste 130
Traverse City, MI 49684
Phone (231) 600-7466
1049 E Newell St
White Cloud, MI 49349
Phone (231) 689-7300
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Grand Rapids, MI
- NPI 1992281000
Anesthesiology, MI
-
- Community/Behavioral Health Agency
- White Cloud, MI
- NPI 1376512236
MI
-
- Emergency Medicine Physician
- Grand Rapids, MI
- NPI 1538216569
Anesthesiology, MI
-
- Rural Health Clinic/Center
- Ontonagon, MI
- NPI 1023161932
-
- Psychiatry Physician
- White Cloud, MI
- NPI 1386969996
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fremont, MI
- NPI 1063836963
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1407079536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 EMBASSY DR SE STE 400",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462416",
"telephone_number": "616-975-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560",
"telephone_number": "616-391-1680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERLUGT",
"first_name": "JOSHUA",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301086596",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301086596",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "4301086596",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00644992",
"state": "MI"
}
],
"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 Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.