Individual provider Active NPI

Ruel Lirio, MD

  • Pediatrics Physician
  • Hudsonville, MI
National Provider Identifier
1679561211
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4304066035 Issued in MI
Practice address
3152 Port Sheldon St
Hudsonville, MI 49426-9297
Phone
(616) 669-9238
Fax
(616) 669-8296
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4304066035 MI Primary

Addresses

Primary practice location

3152 Port Sheldon St
Hudsonville, MI 49426-9297

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Ruel.Lirio@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121212000537 MI Practitioner - Pediatric Medicine 9638346646 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Medical College of Pennsylvania, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3152 Port Sheldon St
Hudsonville, MI 49426-9297
Phone (616) 494-5830

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4304066035MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Medical Practices CurrentSince Feb 26, 2023 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Feb 1, 2023 Accepting new patients
Newaygo County General Hospital Association CurrentSince Feb 1, 2023 Accepting new patients
Mecosta County Medical Center Current Accepting new patients
Memorial Medical Center of West Michigan Pediatrics CurrentSince Feb 1, 2023 Accepting new patients
McLaren Greater Lansing Pediatrics CurrentSince Jan 1, 2023 Accepting new patients
Pennock Hospital CurrentSince Feb 1, 2023 Accepting new patients
Spectrum Health United CurrentSince Feb 1, 2023 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 6, 2012 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Feb 26, 2023 Accepting new patients
McLaren Greater Lansing CurrentSince Jan 1, 2023 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Feb 26, 2023 Accepting new patients
Mecosta County Medical Center CurrentSince May 28, 2017 Accepting new patients
Lakeland Medical Practices CurrentSince Feb 26, 2023 Accepting new patients
Pennock Hospital CurrentSince Feb 1, 2023 Accepting new patients
Newaygo County General Hospital Association CurrentSince Feb 1, 2023 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 6, 2012 Accepting new patients
McLaren Greater Lansing Current Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Spectrum Health United CurrentSince Feb 1, 2023 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Feb 26, 2023 Accepting new patients
Mecosta County Medical Center Pediatrics CurrentSince May 28, 2017 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Feb 26, 2023 Accepting new patients
Zeeland Community Hospital Past Accepting new patients
Pennock Hospital Past Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

3152 Port Sheldon St
Ste C
Hudsonville, MI 49426
Phone (616) 669-9238

3152 Port Sheldon St
Hudsonville, MI 49426
Phone (616) 669-3558

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

2727 S Pennsylvania Ave
Lansing, MI 48910
Phone (517) 975-3750

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

Interoperability endpoints

  • Direct secure messaging: ruel.lirio@epic00.shdirect.org
  • Direct secure messaging: rlirio3561@epic00.corewelldirect.org

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1679561211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 PORT SHELDON ST",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494269297",
            "telephone_number": "616-669-9238",
            "fax_number": "616-669-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRIO",
        "first_name": "RUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4304066035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ruel.Lirio@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "3152 Port Sheldon St",
            "city": "Hudsonville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494269297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3152 Port Sheldon St",
            "city": "Hudsonville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494269297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

Verify at the official NPI Registry.