Active NPI
Boyd Evan Kroeze, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 4301075520
- Practice address
- 602 Michigan Ave
Holland, MI 49423-4918 - Phone
- (616) 394-3522
- NPI assigned
- Jun 17, 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4301075520 | MI | Primary |
Addresses
Primary practice location
602 Michigan Ave
Holland, MI 49423-4918
Mailing address
PO Box 30516
Dept 4006
Lansing, MI 48909-8016
Phone (616) 975-1845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930117094 | Other | MI | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
602 Michigan Ave
Holland, MI 49423-4918
Phone (616) 392-5141
Hospital & facility affiliations
- Holland Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holland Community Hospital | Current | Accepting new patients | |
| Holland Community Hospital | Current | Accepting new patients | |
| Epi PC | Current | Accepting new patients | |
| Holland Community Hospital | Current | Accepting new patients |
Locations
602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350
3232 N Wellness Dr
Holland, MI 49424
Phone (616) 494-4250
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Holland, MI
- NPI 1225082266
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holland, MI
- NPI 1780888099
-
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
-
- Family Medicine Physician
- Hudsonville, MI
- NPI 1952130585
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274745600000",
"number": "1619912540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30516",
"address_2": "DEPT 4006",
"city": "LANSING",
"state": "MI",
"postal_code": "489098016",
"telephone_number": "616-975-1845",
"fax_number": "616-975-1870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 MICHIGAN AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234918",
"telephone_number": "616-394-3522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROEZE",
"first_name": "BOYD",
"middle_name": "EVAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2010-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "4301075520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930117094",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.