Active NPI
Andrew Covington Kleaveland, M.D.
- Pulmonary Disease Physician
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 4301048293
- Practice address
- 1560 E Sherman Blvd
Suite 250
Muskegon, MI 49444-1867 - Phone
- (231) 672-8145
- Fax
- (231) 672-8111
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 4301048293 | MI | Primary |
Addresses
Primary practice location
1560 E Sherman Blvd
Suite 250
Muskegon, MI 49444-1867
Mailing address
PO Box 1847
Muskegon, MI 49443-1847
Phone (231) 727-4444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29 061 0824 1 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1653718 | Medicaid | MI | |
| 4301048293 | Other | MI | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.79 of 100
- Quality
- 96.38
- Improvement activities
- 40
- Cost
- 77.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Partners Sub-Specialty Services | Pulmonary Disease | Current | Accepting new patients |
Locations
1277 Mercy Dr
Slp Ctr
Muskegon, MI 49444
Phone (231) 672-6186
1212 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3500
1560 E Sherman Blvd
Ste 150
Muskegon, MI 49444
Phone (231) 672-2122
1560 E Sherman Blvd
Ste 250
Muskegon, MI 49444
Phone (231) 672-8145
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Muskegon, MI
- NPI 1124042700
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1508961384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1847",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431847",
"telephone_number": "231-727-4444",
"fax_number": "231-728-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 E SHERMAN BLVD",
"address_2": "SUITE 250",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441867",
"telephone_number": "231-672-8145",
"fax_number": "231-672-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEAVELAND",
"first_name": "ANDREW",
"middle_name": "COVINGTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "4301048293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "29 061 0824 1",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1653718",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "4301048293",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.