Individual provider Active NPI

Puneet Singla, MD

  • Psychiatry Physician
  • Grand Rapids, MI
National Provider Identifier
1558596429
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301100807 Issued in MI
Practice address
1055 Medical Park Dr SE
Grand Rapids, MI 49546-3607
Phone
(800) 949-8439
Fax
(616) 285-9144
NPI assigned
May 21, 2009
Last updated
Mar 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301100807 MI Primary

Addresses

Primary practice location

1055 Medical Park Dr SE
Grand Rapids, MI 49546-3607

Mailing address

PO Box 1608
Grand Rapids, MI 49501-1608
Phone (800) 968-6866

Other identifiers 1

IdentifierTypeStateIssuer
0090200OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121119000212 MI Practitioner - Psychiatry 5799944666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Physicians Network of MichiganGroup PAC ID 5597162552, 19 clinicians

Practice addresses (Care Compare)

1055 Medical Park Dr SE
Grand Rapids, MI 49546-3607
Phone (800) 949-8439

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Rest Christian Mental Health Services CurrentSince Jun 28, 2018 Accepting new patients
Recovery Physicians Network of Michigan Psychiatry CurrentSince Apr 10, 2023 Accepting new patients
Pine Rest Christian Mental Health Services Psychiatry CurrentSince Jun 28, 2018 Accepting new patients
Pine Rest Christian Mental Health Services Current Accepting new patients
Forest View Psychiatric Hospital Inc Past Accepting new patients

Locations

1055 Medical Park Dr SE
Grand Rapids, MI 49546
Phone (616) 942-9610

2172 East Paris Ave SE
Ste A
Grand Rapids, MI 49546
Phone (616) 871-6460

101 W Townsend Rd
Saint Johns, MI 48879
Phone (989) 403-6022

300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1558596429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1608",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495011608",
            "telephone_number": "800-968-6866",
            "fax_number": "616-532-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 MEDICAL PARK DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463607",
            "telephone_number": "800-949-8439",
            "fax_number": "616-285-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLA",
        "first_name": "PUNEET",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301100807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0090200",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.