Individual provider Active NPI

Michael Ahern, PA-C

  • Physician Assistant
  • Belmont, MI
National Provider Identifier
1689626418
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601002931 Issued in MI
Practice address
6290 Jupiter Ave NE
Suite a
Belmont, MI 49306-8884
Phone
(616) 301-2500
Fax
(616) 301-2501
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601002931 MI Primary

Addresses

Primary practice location

6290 Jupiter Ave NE
Suite a
Belmont, MI 49306-8884

Mailing address

6290 Jupiter Ave NE
Suite a
Belmont, MI 49306-8884
Phone (616) 301-2500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000271 MI Practitioner - Physician Assistant 4789852534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Plus Medical Associates PLLCGroup PAC ID 0941610596, 8 clinicians

Practice addresses (Care Compare)

2849 Michigan St NE
Suite 102
Grand Rapids, MI 49506-1216
Phone (616) 285-6450

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
A F Associates Family Medicine PC Current Accepting new patients
Signature Eye Care Inc Past Accepting new patients

Locations

2849 Michigan St NE
Ste 102
Grand Rapids, MI 49506
Phone (616) 285-6450

Interoperability endpoints

  • Direct secure messaging: michaelahern@jfmmi.allscriptsdirect.net
  • Direct secure messaging: michael.ahern.1@19662.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1689626418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 JUPITER AVE NE",
            "address_2": "SUITE A",
            "city": "BELMONT",
            "state": "MI",
            "postal_code": "493068884",
            "telephone_number": "616-301-2500",
            "fax_number": "616-301-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 JUPITER AVE NE",
            "address_2": "SUITE A",
            "city": "BELMONT",
            "state": "MI",
            "postal_code": "493068884",
            "telephone_number": "616-301-2500",
            "fax_number": "616-301-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHERN",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MI

Sources for this page

Verify at the official NPI Registry.