Individual provider Active NPI

Kevin S Gostenik, MD

  • Diagnostic Radiology Physician
  • Grand Rapids, MI
National Provider Identifier
1477743383
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301086242 Issued in MI
Practice address
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone
(616) 685-6200
NPI assigned
Jul 26, 2007
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301086242 MI Primary

Addresses

Primary practice location

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502

Mailing address

PO Box 5329
Saginaw, MI 48603-0329
Phone (616) 364-6700

Other practice location 1

601 John St
Kalamazoo, MI 49007-5232
Phone (269) 341-7654

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

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
I20090902000511 MI Practitioner - Diagnostic Radiology 6103971742 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kent Radiology PCGroup PAC ID 0648171850, 18 clinicians

Practice addresses (Care Compare)

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-5907

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital CurrentSince May 11, 2024 Accepting new patients
Bronson South Haven Hospital CurrentSince May 11, 2024 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 9, 2012 Accepting new patients
Bronson Lakeview Hospital CurrentSince May 11, 2024 Accepting new patients
Bronson South Haven Hospital CurrentSince May 11, 2024 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 9, 2012 Accepting new patients
Bronson Methodist Hospital CurrentSince May 11, 2024 Accepting new patients
DLP Marquette Physician Practices Inc Current Accepting new patients
Bronson Battle Creek Hospital CurrentSince May 11, 2024 Accepting new patients
Kent Radiology PC Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Bronson Lakeview Hospital CurrentSince May 11, 2024 Accepting new patients
Marquette General Hospital, Inc. Diagnostic Radiology Past Accepting new patients

Locations

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

601 John St
Ste 100
Kalamazoo, MI 49007
Phone (269) 373-1222

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

420 W Magnetic St
Marquette, MI 49855
Phone (906) 225-3540

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

955 S Bailey Ave
South Haven, MI 49090
Phone (269) 637-5271

Organizations & group practices 12

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.

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1477743383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5329",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486030329",
            "telephone_number": "616-364-6700",
            "fax_number": "989-401-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JEFFERSON AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034502",
            "telephone_number": "616-685-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 John St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075232",
            "country_code": "US",
            "telephone_number": "269-341-7654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSTENIK",
        "first_name": "KEVIN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301086242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075232",
            "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.