Individual provider Active NPI

Erik Colegrove

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1467715201
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11016758A Issued in IN
Practice address
5421 Colony Dr N
Saginaw, MI 48638-7128
Phone
(989) 746-7500
NPI assigned
Jun 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10061141 TX
Family Medicine Physician 207Q00000X 11016758A IN Primary

Addresses

Primary practice location

5421 Colony Dr N
Saginaw, MI 48638-7128

Mailing address

1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 746-7500

Other practice location 1

1575 Concentric Blvd Ste 1
Saginaw, MI 48604-9312
Phone (989) 746-7500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ecolegrove92398@direct.covenanthealthcare.com

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
I20200612000893 MI Practitioner - Family Practice 4284903360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Bay Health CentersGroup PAC ID 2466369046, 85 clinicians

Practice addresses (Care Compare)

501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 753-6000

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077

Merit-based Incentive Payment System (MIPS)

Final score
91.39 of 100Reported as apm
Quality
73.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11016758AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Health Centers CurrentSince May 12, 2025 Accepting new patients
Great Lakes Bay Health Centers CurrentSince May 12, 2025 Accepting new patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Aug 1, 2020 Accepting new patients
Saginaw Cooperative Hospitals, Inc Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Great Lakes Bay Health Centers Family Medicine Past Accepting new patients

Locations

229 Gallagher St
Saginaw, MI 48601
Phone (989) 249-0024

1575 Concentric Blvd
Ste 1
Saginaw, MI 48604
Phone (989) 583-6800

5421 Colony Dr N
Saginaw, MI 48638
Phone (989) 790-3141

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000

Interoperability endpoints

  • Direct secure messaging: erik.colegrove.1@27771.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1467715201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOUGHTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025303",
            "telephone_number": "989-746-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 COLONY DR N",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486387128",
            "telephone_number": "989-746-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 Concentric Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486049312",
            "country_code": "US",
            "telephone_number": "989-746-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEGROVE",
        "first_name": "ERIK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10061141",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11016758A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecolegrove92398@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "1000 HOUGHTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486025303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.