Individual provider Active NPI

Laura Ashack, M.D.

  • Radiation Oncology Physician
  • Kalamazoo, MI
National Provider Identifier
1699138958
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
125069732 Issued in IL
Practice address
200 N Park St
Kalamazoo, MI 49007-3731
Phone
(269) 382-2500
NPI assigned
Apr 3, 2016
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X 125069732 IL Primary

Addresses

Primary practice location

200 N Park St
Kalamazoo, MI 49007-3731

Mailing address

200 N Park St
Kalamazoo, MI 49007-3731

Other practice location 1

2001 W 86th St
Internal Medicine Department 3 North
Indianapolis, IN 46260-1902
Phone (317) 338-6399

Other practice location 2

251 East Huron St
Galter Pavilion, LC-178
Chicago, IL 60611
Phone (312) 926-2520

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
I20211101000339 MI Practitioner - Radiation Oncology 3072805456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Michigan State University College of Human Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Michigan Cancer CenterGroup PAC ID 8628971199, 16 clinicians

Practice addresses (Care Compare)

200 N Park St
Kalamazoo, MI 49007-3731
Phone (269) 373-7488

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.03 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
56.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125069732ILMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Cancer Center Radiation Oncology Current Accepting new patients
West Michigan Cancer Center Radiation Oncology CurrentSince Aug 1, 2021 Accepting new patients
Bamf Health I PC Radiation Oncology CurrentSince Aug 1, 2026 Accepting new patients
Bronson Methodist Hospital PastSince Jan 1, 2016 Accepting new patients

Locations

109 Michigan St NW
Ste 200
Grand Rapids, MI 49503
Phone (616) 330-2522

200 N Park St
Kalamazoo, MI 49007
Phone (269) 373-7453

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

Hospital & facility affiliations 4

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": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1699138958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073731",
            "telephone_number": "269-382-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 W 86th St",
            "address_2": "Internal Medicine Department 3 North",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601902",
            "country_code": "US",
            "telephone_number": "317-338-6399",
            "fax_number": "317-338-6359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 East Huron St",
            "address_2": "Galter Pavilion, LC-178",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60611",
            "country_code": "US",
            "telephone_number": "312-926-2520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHACK",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-03",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "125069732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.