NPIMap

Organization Active NPI

Alliance Physician Services of Michigan, P.C.

  • Urology Physician
  • Grand Rapids, MI
National Provider Identifier
1598865735
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.
Practice address
25 Michigan St NE
Suite 3300
Grand Rapids, MI 49503-2515
Phone
(616) 459-4171
Fax
(616) 459-0044
NPI assigned
Sep 25, 2006
Organization subpart
Yes
Parent organization
ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Tracy Lee McAuley
Title
Credentialing Supervisor
Phone
(586) 771-4820

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MI Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

25 Michigan St NE
Suite 3300
Grand Rapids, MI 49503-2515

Mailing address

25 Michigan St NE Ste 3300
Grand Rapids, MI 49503-2558
Phone (616) 459-4171

Other names 1

  • Michigan Institute of Urology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040417000532 MI Part B Supplier - Clinic/Group Practice 2567457633 Receives reassigned benefits from 18 practitioners
Practice locations: Big Rapids, MI; Wyoming, MI; Ionia, MI; Grand Rapids, MI; Allegan, MI

National Provider Directory

National Provider Directory
Tax ID family
Wayne Macomb Urolog24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

21 Michigan St NE
Ste 750
Grand Rapids, MI 49503

4070 Lake Dr SE
Ste L101
Grand Rapids, MI 49546
Phone (616) 301-7953

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1598865735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MICHIGAN ST NE STE 3300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032558",
            "telephone_number": "616-459-4171",
            "fax_number": "616-459-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MICHIGAN ST NE",
            "address_2": "SUITE 3300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032515",
            "telephone_number": "616-459-4171",
            "fax_number": "616-459-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.",
        "enumeration_date": "2006-09-25",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "MCAULEY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "586-771-4820"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Institute of Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.