Individual provider Active NPI

Sara J Uekert, MD

  • Allergy & Immunology Physician
  • Grand Rapids, MI
National Provider Identifier
1447364237
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4301076495 Issued in MI
Practice address
970 Parchment Dr SE
Suite 203
Grand Rapids, MI 49546-8302
Phone
(616) 949-4840
Fax
(616) 949-3531
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 4301076495 MI Primary

Addresses

Primary practice location

970 Parchment Dr SE
Suite 203
Grand Rapids, MI 49546-8302

Mailing address

970 Parchment Drive SE
Suite 203
Grand Rapids, MI 49546
Phone (616) 949-4840

Other identifiers 3

IdentifierTypeStateIssuer
0411510OtherMIBCBSM PIN # INDIVIDUAL
110D111480OtherMIBCBSM GRP PRACTICE #
4790971MedicaidMI

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
I20050915000922 MI Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 8921031311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Wayne State University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grand Rapids Allergy PLCGroup PAC ID 2668468166, 3 clinicians

Practice addresses (Care Compare)

970 Parchment Dr SE
Grand Rapids, MI 49546-8302
Phone (616) 949-4840

970 Parchment SE Dr
Grand Rapids, MI 49546-8302

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Rapids Allergy PLC Allergy & Immunology CurrentSince Nov 1, 2005 Accepting new patients

Locations

970 Parchment Dr SE
Grand Rapids, MI 49546
Phone (616) 949-4840

970 Parchment Dr SE
Ste 203
Grand Rapids, MI 49546
Phone (616) 949-4840

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1447364237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 PARCHMENT DRIVE SE",
            "address_2": "SUITE 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-949-4840",
            "fax_number": "616-949-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 PARCHMENT DR SE",
            "address_2": "SUITE 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468302",
            "telephone_number": "616-949-4840",
            "fax_number": "616-949-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UEKERT",
        "first_name": "SARA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301076495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN # INDIVIDUAL",
            "identifier": "0411510",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GRP PRACTICE #",
            "identifier": "110D111480",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4790971",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.