Individual provider Active NPI

Kevin M. Nemeth, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Grand Rapids, MI
National Provider Identifier
1407198807
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
4301116716 Issued in MI
Practice address
2060 East Paris Ave SE Ste 200
Grand Rapids, MI 49546-6113
Phone
(616) 285-1377
Fax
(616) 285-1154
NPI assigned
Mar 23, 2013
Last updated
May 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 4301116716 MI Primary
Interventional Pain Medicine Physician 208VP0014X 4301116716 MI

Addresses

Primary practice location

2060 East Paris Ave SE Ste 200
Grand Rapids, MI 49546-6113

Mailing address

5555 Glenwood Hills Pkwy SE Ste 2
Grand Rapids, MI 49512-2091
Phone (616) 940-2662

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
I20190501000065 MI Practitioner - Pain Management 4880936459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Indiana University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Center for Regenerative Medicine PLLCGroup PAC ID 8820374390, 7 clinicians
Pain Management Group PLLCGroup PAC ID 1153636576, 7 clinicians

Practice addresses (Care Compare)

355 Barclay Cir
Suite a
Rochester Hills, MI 48307-5816
Phone (248) 216-1008

555 Linn St
Allegan, MI 49010-1524
Phone (269) 686-4377

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Center for Regenerative Medicine PLLC CurrentSince Feb 12, 2025 Accepting new patients
Pain Management Group PLLC Pain Medicine CurrentSince Oct 4, 2024 Accepting new patients

Locations

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

570 Linn St
Ste 2
Allegan, MI 49010
Phone (269) 673-3619

1000 East Paris Ave SE
Ste 221
Grand Rapids, MI 49546
Phone (616) 222-0770

2155 East Paris Ave SE
Ste 210
Grand Rapids, MI 49546
Phone (616) 581-1616

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

355 Barclay Cir
Ste A
Rochester Hills, MI 48307
Phone (248) 216-1008

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1363996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1407198807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GLENWOOD HILLS PKWY SE STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122091",
            "telephone_number": "616-940-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 EAST PARIS AVE SE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466113",
            "telephone_number": "616-285-1377",
            "fax_number": "616-285-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMETH",
        "first_name": "KEVIN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-23",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "4301116716",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301116716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.