Michael Dozeman, M.D.

Key facts

NPI

1487035333

Entity type

Individual (NPI type 1)

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X

License

4301107340 (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

Sex

Male

Sole proprietor

No

Organizations & group practices 9

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.

• Faith Hospice Community Based Hospice Care Agency · Byron Center, MI · NPI 1790739282
  Medicare reassignment Care Compare group NPD MI
• Metropolitan Hospital Hematology & Oncology Physician · Wyoming, MI · NPI 1487813200
  Medicare reassignment Care Compare group NPD INTERNAL MEDICINE · MI
• Metropolitan Hospital Internal Medicine Physician · Wyoming, MI · NPI 1811937519
  Medicare reassignment Care Compare group NPD INTERNAL MEDICINE · MI
• Pine Rest Christian Mental Health Services General Practice Physician · Grand Rapids, MI · NPI 1851309884
  Medicare reassignment NPD MI
• Metropolitan Hospital General Acute Care Hospital · Wyoming, MI · NPI 1619923919
  Care Compare group
• 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. 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)

Hospital & facility affiliations 5

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

• Faith Hospice Community Based Hospice Care Agency · Byron Center, MI · NPI 1790739282
  Care Compare affiliation Hospice
• Metropolitan Hospital General Acute Care Hospital · Wyoming, MI · NPI 1619923919
  Care Compare affiliation Hospital
• Pennock Hospital Critical Access Hospital · Hastings, MI · NPI 1932695525
  Care Compare affiliation Hospital
• Spectrum Health Hospitals General Acute Care Hospital · Grand Rapids, MI · NPI 1922090554
  Care Compare affiliation Hospital
• Wings of Hope Hospice and Palliative Care, Inc. Community Based Hospice Care Agency · Allegan, MI · NPI 1609871425
  Care Compare affiliation Hospice

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
  CMS ownership CONTRACTED MANAGING EMPLOYEE

Medicare Care Compare profile

Specialty

General Practice
Also: 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 Hospital (421 clinicians)
Faith Hospice (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 participation

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

All facility ownership & control disclosures 1

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

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 8, 2023.

{
    "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": []
}

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All providers in Grand Rapids, MI · Hospice and Palliative Medicine (Internal Medicine) Physician in Michigan