Individual provider Active NPI

Steven Todd Osterhout, D.C.,CCN

  • Chiropractor
  • Portage, MI
National Provider Identifier
1679644405
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008828 Issued in MI
Practice address
5717 Oakland Dr
Suite a
Portage, MI 49024-1116
Phone
(269) 324-4143
Fax
(269) 324-0755
NPI assigned
Nov 13, 2006
Last updated
Apr 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008828 MI Primary

Addresses

Primary practice location

5717 Oakland Dr
Suite a
Portage, MI 49024-1116

Mailing address

5717 Oakland Dr
Suite a
Portage, MI 49024-1116
Phone (269) 324-4143

Other identifiers 1

IdentifierTypeStateIssuer
0C91557OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018000937 MI Practitioner - Chiropractic 3779543368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitality Healthcare PCGroup PAC ID 7911206131, 3 clinicians

Practice addresses (Care Compare)

5717 Oakland Dr
Suite a
Portage, MI 49024-1116
Phone (269) 323-4473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Healthcare PC CurrentSince Apr 11, 2018 Accepting new patients
Kalamazoo Community Chiropractic, P.C. Chiropractor PastSince Jan 1, 2008 Accepting new patients

Locations

5717 Oakland Dr
#A
Portage, MI 49024
Phone (269) 323-4473

5717 Oakland Dr
Ste A
Portage, MI 49024
Phone (269) 323-4473

Interoperability endpoints

  • Direct secure messaging: dro@sfc0024.direct.chirotouch.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1679644405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 OAKLAND DR",
            "address_2": "SUITE A",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241116",
            "telephone_number": "269-324-4143",
            "fax_number": "269-324-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 OAKLAND DR",
            "address_2": "SUITE A",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241116",
            "telephone_number": "269-324-4143",
            "fax_number": "269-324-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERHOUT",
        "first_name": "STEVEN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.C.,CCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0C91557",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.