Active NPI
Magalis Llovet, MD
- Family Medicine Physician
- Grand Rapids, MI
National Provider Identifier
1427066646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ML075353
- Practice address
- 3260 Eagle Park Dr NE
Ste115
Grand Rapids, MI 49525-4569 - Phone
- (616) 942-7400
- Fax
- (616) 942-7405
- NPI assigned
- Aug 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ML075353 | MI | Primary |
Addresses
Primary practice location
3260 Eagle Park Dr NE
Ste115
Grand Rapids, MI 49525-4569
Mailing address
PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6622
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4255750 | Medicaid | MI | |
| 700F374320 | Other | MI | BCBS OF MI |
| 700B510850 | Other | MI | BCBS OF MI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML075353 | MI | MD | Family Medicine Physician |
Practice roles
Organizations & group practices 5
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.
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-
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- Brentwood, TN
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1427066646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1239",
"city": "TROY",
"state": "MI",
"postal_code": "480991239",
"telephone_number": "248-824-6622",
"fax_number": "248-324-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 EAGLE PARK DR NE",
"address_2": "STE115",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495254569",
"telephone_number": "616-942-7400",
"fax_number": "616-942-7405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLOVET",
"first_name": "MAGALIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "ML075353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4255750",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "700F374320",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "700B510850",
"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 Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.