Active NPI
Allegan Internal Medicine, P. C
- Internal Medicine Physician
- Allegan, MI
National Provider Identifier
1508813114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ALLEGAN INTERNAL MEDICINE, P. C
- Doing business as
- Thomas Street Clinic
- Practice address
- 305 Thomas St
Allegan, MI 49010-9158 - Phone
- (269) 673-2179
- Fax
- (269) 673-6992
- NPI assigned
- May 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurie L Hildebrand
- Title
- Office Manager/Billing
- Phone
- (269) 673-2179
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
305 Thomas St
Allegan, MI 49010-9158
Mailing address
305 Thomas St
Allegan, MI 49010-9158
Phone (269) 673-2179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110Z310760 | Other | MI | BLUE CROSS PIN |
Other names 2
- Thomas Street Clinic
- Allegan Internal Medicine, P. C
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0869871 | Thomas Street Clinic PC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Allegan, MI
- NPI 1770540205
-
- Family Nurse Practitioner
- Allegan, MI
- NPI 1134372907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766361600000",
"number": "1508813114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 THOMAS ST",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490109158",
"telephone_number": "269-673-2179",
"fax_number": "269-673-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 THOMAS ST",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490109158",
"telephone_number": "269-673-2179",
"fax_number": "269-673-6992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEGAN INTERNAL MEDICINE, P. C",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A",
"authorized_official_last_name": "HILDEBRAND",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER/BILLING",
"authorized_official_telephone_number": "269-673-2179"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PIN",
"identifier": "110Z310760",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thomas Street Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Thomas Street Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Allegan Internal Medicine, P. C",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Allegan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.