Individual provider Active NPI

Matthew Falkiewicz, M.D.

  • Family Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1447631411
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301107342 Issued in MI
Practice address
300 Lafayette Ave SE # 4000
Grand Rapids, MI 49503-4692
Phone
(616) 685-6922
NPI assigned
Jun 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301107342 MI Primary

Addresses

Primary practice location

300 Lafayette Ave SE # 4000
Grand Rapids, MI 49503-4692

Mailing address

300 Lafayette Ave SE # 4000
Grand Rapids, MI 49503-4692

Other practice location 1

234 Lake St
Roscommon, MI 48653-9203
Phone (989) 275-1200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mfalkiewicz@direct.mhc.net

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
I20170911001840 MI Practitioner - Family Practice 7810200631 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare GraylingGroup PAC ID 2062736655, 64 clinicians

Practice addresses (Care Compare)

10047 Crossroad CT SE
Caledonia, MI 49316-7316
Phone (616) 685-8850

2585 W Houghton Lake Dr
Prudenville Community Health Center
Prudenville, MI 48651-9624
Phone (989) 366-2900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Hospitals CurrentSince Dec 1, 2020 Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Spectrum Health United Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Munson Healthcare Grayling CurrentSince Dec 10, 2018 Accepting new patients
Munson Healthcare Grayling CurrentSince Dec 10, 2018 Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Spectrum Health United CurrentSince Aug 1, 2021 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 16, 2017 Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Jan 29, 2021 Accepting new patients
Advantage Health/Saint Mary'S Medical Group Current Accepting new patients
Spectrum Health Hospitals CurrentSince Dec 1, 2020 Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Jan 29, 2021 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 16, 2017 Accepting new patients
Munson Healthcare Grayling Family Medicine Past Accepting new patients
Trinity Health - Michigan Past Accepting new patients

Locations

3778 Momentum Pl
Chicago, IL 60689

3781 Momentum Pl
Chicago, IL 60689

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

25 Michigan St NE
Ste 5100
Grand Rapids, MI 49503
Phone (616) 267-0800

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

300 Lafayette Ave SE
#4000
Grand Rapids, MI 49503
Phone (616) 685-6922

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

1202 W Oak St
Greenville, MI 48838
Phone (616) 754-2944

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

2585 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 348-0055

234 Lake St
Roscommon, MI 48653
Phone (517) 275-1200

Interoperability endpoints

  • Direct secure messaging: mfalkiewicz112108@epic00.corewelldirect.org
  • Direct secure messaging: mfalkiewicz962664@direct.trinity-health.org
  • Direct secure messaging: mfalkiewicz194472@direct.hfhs.org
  • Direct secure messaging: mfalkiewicz@direct.mhc.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West Michigan Hospice LLCCaledonia, MI, CCN 231679 Hospice W-2 Managing Employee Jul 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1447631411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LAFAYETTE AVE SE # 4000",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LAFAYETTE AVE SE # 4000",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034692",
            "telephone_number": "616-685-6922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Lake St",
            "address_purpose": "LOCATION",
            "city": "Roscommon",
            "state": "MI",
            "postal_code": "486539203",
            "country_code": "US",
            "telephone_number": "989-275-1200",
            "fax_number": "989-275-1210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALKIEWICZ",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301107342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfalkiewicz@direct.mhc.net",
            "affiliation": "N",
            "address_1": "234 Lake St",
            "city": "Roscommon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486539203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.