Individual provider Active NPI

Jonathan Stewart Rouwhorst, M.D.

  • Family Medicine Physician
  • Grand Haven, MI
National Provider Identifier
1508120122
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301110884 Issued in MI
Practice address
15161 Willowwood CT
Grand Haven, MI 49417
Phone
(616) 402-8353
NPI assigned
Jun 28, 2012
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301110884 MI Primary
Family Medicine Physician 207Q00000X 64639 WI
Family Medicine Physician 207Q00000X 125062119 IL

Addresses

Primary practice location

15161 Willowwood CT
Grand Haven, MI 49417

Mailing address

15161 Willowwood CT
Grand Haven, MI 49417-9151

Other practice location 1

360 Douglas Ave
Altamonte Springs, FL 32714-3335
Phone (850) 304-7986

Other practice location 2

15161 Willowwood Ct
Grand Haven, MI 49417
Phone (616) 402-8353

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jonathan.rouwhorst.4@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NH, FL, TX, MS, AZ, VA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20160902000717 MI Practitioner - Family Practice 9133438633 Reassigns benefits to 2 organizations
I20231117000684 NH Practitioner - Family Practice 9133438633 Reassigns benefits to 1 organization
I20250703001895 FL Practitioner - Family Practice 9133438633 Reassigns benefits to 1 organization
I20250714004059 TX Practitioner - Family Practice 9133438633 Reassigns benefits to 1 organization
I20251001001532 MS Practitioner - Family Practice 9133438633 Reassigns benefits to 1 organization
I20251105001590 AZ Practitioner - Family Practice 9133438633 Reassigns benefits to 1 organization
I20260319000517 VA Practitioner - Family Practice 9133438633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126

6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126-3168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125062119ILMDFamily Medicine Physician
64639WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Mar 22, 2018 Accepting new patients
Mercy Physician Network Family Medicine CurrentSince May 21, 2020 Accepting new patients
Airmd Healthcare PC CurrentSince Sep 15, 2019 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Family Medicine Current Accepting new patients
Centerwell Senior Primary Care Az CS PC Family Medicine CurrentSince Oct 20, 2025 Accepting new patients
Centerwell Senior Primary Care FL Inc Family Medicine CurrentSince Jun 9, 2025 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Family Medicine Current Accepting new patients
Centerwell Senior Primary Care Az CS PC Family Medicine CurrentSince Oct 20, 2025 Accepting new patients
Advantage Health/Saint Mary's Medical Group CurrentSince Mar 22, 2018 Accepting new patients
Centerwell Senior Primary Care FL Inc Family Medicine Current Accepting new patients
Centerwell Senior Primary Care VA CS PC Family Medicine CurrentSince Feb 11, 2026 Accepting new patients
Mercy Physician Network Family Medicine CurrentSince May 21, 2020 Accepting new patients
Centerwell Senior Primary Care TX CS PA Family Medicine CurrentSince Jun 9, 2025 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Family Medicine Current Accepting new patients
Centerwell Senior Primary Care Ms CS PC Family Medicine CurrentSince Jul 19, 2025 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Family Medicine CurrentSince Jun 9, 2025 Accepting new patients

Locations

9515 W Camelback Rd
Ste 136
Phoenix, AZ 85037
Phone (623) 322-8906

360 Douglas Ave
Altamonte Springs, FL 32714
Phone (407) 788-8200

1049 W Orange Blossom Trl
Apopka, FL 32712
Phone (407) 884-2952

946 State Road 436
Casselberry, FL 32707
Phone (407) 831-3141

2577 Simpson Rd
Kissimmee, FL 34744
Phone (407) 348-8338

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

11242 E Colonial Dr
Orlando, FL 32817
Phone (402) 273-7373

207 W Gore St
Ste 200
Orlando, FL 32806
Phone (407) 409-8118

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

5997 S Goldenrod Rd
Orlando, FL 32822
Phone (407) 241-8957

1400 N US Highway 441
Ste 810
The Villages, FL 32159
Phone (352) 674-8700

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333

15151 Stanton St
West Olive, MI 49460
Phone (616) 296-1020

2650 Beach Blvd
Ste 40
Biloxi, MS 39531
Phone (228) 273-4611

545 Gulfgate Center Mall
Houston, TX 77087
Phone (281) 846-7209

7525 Tidewater Dr
Ste 19
Norfolk, VA 23505
Phone (757) 330-0150

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jonathan.rouwhorst.1@29601.direct.athenahealth.com
  • Direct secure messaging: jonathan.rouwhorst.4@29601.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1508120122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15161 WILLOWWOOD CT",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15161 WILLOWWOOD CT",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "49417",
            "telephone_number": "616-402-8353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Douglas Ave",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327143335",
            "country_code": "US",
            "telephone_number": "850-304-7986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15161 Willowwood Ct",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "49417",
            "country_code": "US",
            "telephone_number": "616-402-8353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUWHORST",
        "first_name": "JONATHAN",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301110884",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "64639",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125062119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathan.rouwhorst.4@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "360 Douglas Ave",
            "city": "Altamonte Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327143335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.