Michael Dozeman, M.D.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

4301107340 Issued in MI

Practice address

2100 Raybrook St SE Ste 100
Grand Rapids, MI 49546-5782

Phone

(616) 235-5101

Fax

(616) 949-9020

NPI assigned

Jun 17, 2015

Last updated

Feb 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

General PracticeAlso: Hospice/Palliative Care

Education

Michigan State University College of Human Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metropolitan HospitalGroup PAC ID 5597651836, shared by 3 NPIs, 421 clinicians

Faith HospiceGroup PAC ID 9436102845, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Faith Hospice at Trillium Woods Hospice, Byron Center, MI, CCN 231570
• Wings of Hope Hospice Hospice, Allegan, MI, CCN 231547
• University of Michigan Health - West Hospital, Wyoming, MI, CCN 230236
• Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdozeman167627@direct.covenanthealthcare.com
• Direct secure messaging: michael.dozeman.1@16329.direct.athenahealth.com

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Wings of Hope Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Allegan, MI
  • NPI 1609871425

  Contracted Managing Employee

  CMS ownership

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.

• Faith Hospice

  dba Hospice of Holland Home and Faith Hospice at Trillium Woods

  • Community Based Hospice Care Agency
  • Byron Center, MI
  • NPI 1790739282
  Medicare reassignment Care Compare group NPD
• Metropolitan Hospital

  • Hematology & Oncology Physician
  • Wyoming, MI
  • NPI 1487813200

  Internal Medicine

  Medicare reassignment NPD
• Metropolitan Hospital

  dba Metro Health Hospital

  • Internal Medicine Physician
  • Wyoming, MI
  • NPI 1811937519
  Medicare reassignment NPD
• Pine Rest Christian Mental Health Services

  • General Practice Physician
  • Grand Rapids, MI
  • NPI 1851309884
  Medicare reassignment NPD
• Faith Palliative Care

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Grand Rapids, MI
  • NPI 1497014476
  NPD
• Pine Rest Christian Mental Health Services

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1386015683
  NPD
• Wings of Hope Hospice and Palliative Care Inc.

  dba Journeys Advanced Illness Management

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Allegan, MI
  • NPI 1306249073
  NPD (past)
• Wings of Hope Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Allegan, MI
  • NPI 1609871425
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Faith Hospice

  dba Hospice of Holland Home and Faith Hospice at Trillium Woods

  • Community Based Hospice Care Agency
  • Byron Center, MI
  • NPI 1790739282
  Care Compare affiliation
• Metropolitan Hospital

  dba Metro Health Hospital

  • General Acute Care Hospital
  • Wyoming, MI
  • NPI 1619923919
  Care Compare affiliation
• Pennock Hospital

  dba Corewell Health Pennock Hospital

  • Critical Access Hospital
  • Hastings, MI
  • NPI 1932695525
  Care Compare affiliation
• Spectrum Health Hospitals

  dba Corewell Health Grand Rapids Hospital

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1922090554
  Care Compare affiliation
• Wings of Hope Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Allegan, MI
  • NPI 1609871425
  Care Compare affiliation

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1487035333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8214 PFEIFFER FARMS DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158288",
            "telephone_number": "616-235-5100",
            "fax_number": "616-235-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 RAYBROOK ST SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465782",
            "telephone_number": "616-235-5101",
            "fax_number": "616-949-9020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8214 Pfeiffer Farms Dr SW",
            "address_purpose": "LOCATION",
            "city": "Byron Center",
            "state": "MI",
            "postal_code": "493158288",
            "country_code": "US",
            "telephone_number": "616-235-5100",
            "fax_number": "616-235-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOZEMAN",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301107340",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301107340",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301107340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Stuart Doyle
• Ryan Kenneth Doyle, DO
• Stephanie Doyle
• Stephen Thomas Doyle, DO
• Carmen G Dozeman, M.D.
• Michele Dozeman
• Rebecca Dozeman, LLMSW
• Dr Bruce a Fowler P C
• Dr Daniel Roberts PLLC (Woodmeadow Dentistry)
• Dr Eric J Foster DDS PLC (36th Street Dental Associates)

• Hospice and Palliative Medicine (Internal Medicine) Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.