NPIMap

Organization Active NPI

Optimed Healthcare Partners, PLLC

Doing business as OptiMed Healthcare Partners

  • General Practice Physician
  • Kalamazoo, MI
National Provider Identifier
1538840780
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OPTIMED HEALTHCARE PARTNERS, PLLC
Doing business as
OptiMed Healthcare Partners
Practice address
6480 Technology Ave Ste a
Kalamazoo, MI 49009-8126
Phone
(269) 250-8000
Fax
(269) 250-8020
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Andrew J Reeves, R.PH.
Title
Registered Agent
Phone
(269) 250-8018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6480 Technology Ave Ste a
Kalamazoo, MI 49009-8126

Mailing address

6480 Technology Ave Ste a
Kalamazoo, MI 49009-8126
Phone (269) 250-8000

Other names 1

  • OptiMed Healthcare Partners Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20240318001092 IN Part B Supplier - Clinic/Group Practice 6305283011 Receives reassigned benefits from 4 practitioners
Practice locations: Munster, IN
O20240405002489 MI Part B Supplier - Clinic/Group Practice 6305283011 Receives reassigned benefits from 5 practitioners
Practice locations: Grand Rapids, MI; Grandville, MI; Kalamazoo, MI
O20240604001603 FL Part B Supplier - Clinic/Group Practice 6305283011 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory
Tax ID family
Optimed Healthcare Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3050 Ivanrest Ave SW
Ste C
Grandville, MI 49418
Phone (616) 626-1596

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1538840780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 TECHNOLOGY AVE STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098126",
            "telephone_number": "269-250-8000",
            "fax_number": "269-250-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 TECHNOLOGY AVE STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098126",
            "telephone_number": "269-250-8000",
            "fax_number": "269-250-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMED HEALTHCARE PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "269-250-8018",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OptiMed Healthcare Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.