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Ascension Medical Group Promed

Organization Active NPI Family Medicine Physician · Portage, MI

NPI 1497709869 · NPPES record last updated Jun 24, 2026

Key facts

NPI
1497709869
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ASCENSION MEDICAL GROUP PROMED
Practice address
7901 Angling Rd
Portage, MI 49024-0714
Phone
(269) 552-2912
Fax
(269) 552-2835
NPI assigned
May 20, 2006
Organization subpart
No

Authorized official

Name
Jeffrey Costello
Title
Cfo
Phone
(574) 647-3460

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 587

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 587

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031216000478 MI Part B Supplier - Clinic/Group Practice 7315856077 Receives reassigned benefits from 562 practitioners
6 other NPIs on this enrollment

National Provider Directory

Locations (25 of 37)

551 Linn St
Ste 250
Allegan, MI 49010

555 Linn St
Ste 247
Allegan, MI 49010
Phone (269) 686-5850

3770 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 441-1755

3770 Capital Ave SW
Ste B
Battle Creek, MI 49015
Phone (269) 969-4311

360 E Chicago St
Ste 108
Coldwater, MI 49036
Phone (517) 279-2885

360 E Chicago St
Ste H
Coldwater, MI 49036
Phone (517) 279-2885

9880 E Michigan Ave
#100
Galesburg, MI 49053

30 S Howell St
Ste 101
Hillsdale, MI 49242

30 S Howell St
Hillsdale, MI 49242
Phone (517) 437-2490

1521 Gull Rd
Ste 146
Kalamazoo, MI 49048

1521 Gull Rd
Ste 140
Kalamazoo, MI 49048

1722 Shaffer St
Ste 100
Kalamazoo, MI 49048
Phone (269) 381-3963

1535 Gull Rd
Ste 205
Kalamazoo, MI 49048
Phone (269) 381-3521

1521 Gull Rd
Ste 174A1CW
Kalamazoo, MI 49048
Phone (269) 552-2970

1717 Shaffer St
Ste 123
Kalamazoo, MI 49048
Phone (616) 345-4554

1521 Gull Rd
Ste 174
Kalamazoo, MI 49048
Phone (269) 377-3941

6565 W Main St
Kalamazoo, MI 49009
Phone (269) 375-0400

2929 Nazareth Rd
Kalamazoo, MI 49048
Phone (269) 213-8352

1722 Shaffer St
Ste 105
Kalamazoo, MI 49048

1521 Gull Rd
#146E
Kalamazoo, MI 49048

1521 Gull Rd
Ste 146E
Kalamazoo, MI 49048

2490 S 11th St
Kalamazoo, MI 49009
Phone (269) 343-0760

5555 Gull Rd
Ste 201
Kalamazoo, MI 49048
Phone (269) 385-2781

5943 Stadium Dr
Ste 3
Kalamazoo, MI 49009
Phone (269) 226-8315

1535 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5927

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0000X
Geriatric Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RG0300X
Interventional Cardiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RI0011X
Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207VG0400X
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208D00000X
Nursing Care Agency 251J00000X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X

Addresses

Primary practice location

7901 Angling Rd
Portage, MI 49024-0714

Mailing address

3245 Health Dr Ste 100
Ste 100
Granger, IN 46530-1380

Other practice location 1

633 S Erie St
Three Rivers, MI 49093-2073
Phone (269) 273-9539

Other practice location 2

1555 E Chicago Rd
Sturgis, MI 49091-1993
Phone (269) 651-3218

Other providers in Portage, MI

All providers in Portage, MI · Family Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.