Active NPI
Madeline Joan Wheatley, MD
- Maternal & Fetal Medicine Physician
- Grand Rapids, MI
National Provider Identifier
1669050480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 4301514584
- Practice address
- 25 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2572 - Phone
- (616) 391-3681
- NPI assigned
- Apr 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 4301514584 | MI | Primary |
Addresses
Primary practice location
25 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2572
Mailing address
25 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2572
Phone (616) 391-3681
Other names 1
- Madeline Joan-Donovan-Peter Wheatley
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 |
|---|---|---|---|---|
| I20210706002601 | MI | Order and Referring Only - Obstetrics/Gynecology | 6800298472 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301514584 | MI | MD | Maternal & Fetal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1669050480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MICHIGAN ST NE STE 5200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032572",
"telephone_number": "616-391-3681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MICHIGAN ST NE STE 5200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032572",
"telephone_number": "616-391-3681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEATLEY",
"first_name": "MADELINE",
"middle_name": "JOAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-01",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MI",
"license": "4301514584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADELINE",
"last_name": "WHEATLEY",
"middle_name": "JOAN-DONOVAN-PETER",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
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 18, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.