Active NPI
James R Dumerauf, MD
- Psychiatry Physician
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301063780
- Practice address
- 602 Michigan Ave
Holland, MI 49423-4918 - Phone
- (616) 394-3502
- NPI assigned
- Feb 7, 2007
- Last updated
- Aug 11, 2010
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301063780 | MI | Primary |
Addresses
Primary practice location
602 Michigan Ave
Holland, MI 49423-4918
Mailing address
602 Michigan Ave
Holland, MI 49423-4918
Phone (616) 392-5141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1645 W Jackson Blvd
Suite 600
Chicago, IL 60612-2847
Phone (312) 563-6637
602 Michigan Ave
Holland, MI 49423-4918
Phone (616) 546-4950
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301063780 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Current | Accepting new patients | |
| Holland Community Hospital | Current | Accepting new patients | |
| Holland Community Hospital | Current | Accepting new patients | |
| Holland Community Hospital | Past | Accepting new patients |
Locations
1645 W Jackson Blvd
Ste 600
Chicago, IL 60612
Phone (312) 563-6637
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
75 Remittance Dr
Dept 1611
Chicago, IL 60675
602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350
854 Washington Ave
Bldg B
Holland, MI 49423
Phone (616) 355-3926
854 Washington Ave
Ste 330
Holland, MI 49423
Phone (616) 355-3926
Interoperability endpoints
- james.dumerauf@hhobh.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holland, MI
- NPI 1780888099
-
dba Rush University Internists
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Family Medicine Physician
- Hudsonville, MI
- NPI 1952130585
-
dba Holland Hospital
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holland Hospital
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1477693505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 MICHIGAN AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234918",
"telephone_number": "616-392-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 MICHIGAN AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234918",
"telephone_number": "616-394-3502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMERAUF",
"first_name": "JAMES",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301063780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.