Aurora B Madanguit, MD
Individual provider Active NPI Infectious Disease Physician · Coloma, MI
NPI 1619902855 · NPPES record last updated Jun 28, 2011
Key facts
- NPI
- 1619902855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 4301068832 (MI)
- Practice address
- 6572 Red Arrow Hwy
Coloma, MI 49038-8717 - Phone
- (269) 202-7014
- Fax
- (269) 202-7130
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lakeland Medical Practices
Practice addresses (Care Compare)
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8300
6572 Red Arrow Hwy
Coloma, MI 49038-8700
Phone (269) 202-7014
Hospital & facility affiliations
- Mary Free Bed at Home, LLC
- Corewell Health Lakeland Hospitals St Joseph Hospital
- Lakeland Hospital, St Joseph
- Corewell Health Watervliet Hospital
- Bronson Methodist Hospital
- Bronson South Haven Hospital
- Bronson Lakeview Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040517001206 | MI | Practitioner - Internal Medicine | 4789674193 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Medical Practices | Internal Medicine | Current |
Accepting new patients |
| Lakeland Medical Practices | Internal Medicine | Current |
Accepting new patients |
| Southwestern Medical Clinic PC | Past | Accepting new patients |
Locations
50 Industrial Park Rd
Bangor, MI 49013
Phone (269) 427-7937
800 M 139
Benton Harbor, MI 49022
Phone (269) 927-5400
6416 Deans Hill Rd
Berrien Ctr, MI 49102
Phone (269) 471-7741
6701 Paw Paw Ave
Coloma, MI 49038
Phone (269) 468-6430
2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111
Interoperability endpoints
- amadanguit1270644@epic00.corewelldirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 4301068832 | MI | Yes |
Addresses
Primary practice location
6572 Red Arrow Hwy
Coloma, MI 49038-8717
Mailing address
6572 Red Arrow Hwy
Coloma, MI 49038-8700
Phone (269) 202-7014
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4341536 | Medicaid | MI | |
| 0M39190 | Other | MI | MEDICARE GROUP |
Other providers in Coloma, MI
- Emily Jean Koenigshof
- Lakeland Community Hospital Watervliet
- Lakeland Community Hospital Watervliet
- Lakeland Medical Practices
- Lakeland Medical Practices
- Michael E Mayle
- Samuel Robert Miller
- Lori Mizwicki
- Moss Chiropractic Clinic P.C.
- David Earl Moss
All providers in Coloma, MI · Infectious Disease Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.