Active NPI
Aaron T Eggebeen, MD
- Rheumatology Physician
- Grand Rapids, MI
National Provider Identifier
1629194352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 4301077813
- Practice address
- 1155 E Paris Ave SE
Ste 100
Grand Rapids, MI 49546-8368 - Phone
- (616) 459-8088
- Fax
- (616) 459-8312
- NPI assigned
- Mar 22, 2007
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 4301077813 | MI | Primary |
Addresses
Primary practice location
1155 E Paris Ave SE
Ste 100
Grand Rapids, MI 49546-8368
Mailing address
1155 E Paris Ave SE
Ste 100
Grand Rapids, MI 49546-8368
Phone (616) 459-8088
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aaron.eggebeen@wmr.eclinicaldirectplus.com | Direct |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070714000040 | MI | Practitioner - Rheumatology | 8022118421 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Michigan State University College of Human Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advantage Health/Saint Mary'S Medical Group
Practice addresses (Care Compare)
10047 Crossroad CT SE
Caledonia, MI 49316-7316
Phone (616) 685-8850
1155 E Paris Ave SE
100 Trinity Health Medical Group Rheuma
Grand Rapids, MI 49546-8368
Phone (616) 459-8088
3925 32ND Ave
Suite 300
Hudsonville, MI 49426-8495
Phone (616) 685-1500
Hospital & facility affiliations
- Mercy Health Saint Mary'S
- Spectrum Health
- Trinity Health Muskegon Hospital
- Munson Healthcare Cadillac Hospital
- Corewell Health Pennock Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301077813 | MI | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health Saint Mary'S Medical Group | Current | Accepting new patients | |
| Advantage Health Saint Mary'S Medical Group | Current | Accepting new patients | |
| Advantage Health/Saint Mary'S Medical Group | Current | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
1155 East Paris Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 459-8088
Interoperability endpoints
- aeggebeen43768@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
MI
-
- Orthopaedic Surgery Physician
- Byron Center, MI
- NPI 1003515008
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1952340911
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1629194352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 E PARIS AVE SE",
"address_2": "STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468368",
"telephone_number": "616-459-8088",
"fax_number": "616-459-8312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 E PARIS AVE SE",
"address_2": "STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468368",
"telephone_number": "616-459-8088",
"fax_number": "616-459-8312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGEBEEN",
"first_name": "AARON",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MI",
"license": "4301077813",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aaron.eggebeen@wmr.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "West Michigan Rheumatology Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "eCW",
"address_1": "1155 E Paris Ave SE",
"address_2": "Ste 100",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495468368",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 Jun 30, 2021; 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.