Individual provider Active NPI

Drew Parkhurst, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Traverse City, MI
National Provider Identifier
1699209080
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5101026165 Issued in MI
Practice address
3988 W Royal Dr
Traverse City, MI 49684-9200
Phone
(231) 935-0860
Fax
(231) 935-0930
NPI assigned
Apr 12, 2017
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5101026165 MI Primary

Addresses

Primary practice location

3988 W Royal Dr
Traverse City, MI 49684-9200

Mailing address

3988 W Royal Dr
Traverse City, MI 49684-9200
Phone (231) 935-0860

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
I20210506000833 MI Practitioner - Physical Medicine and Rehabilitation 5799194643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DBMJ Rehabilitation Services PLLCGroup PAC ID 5799774022, 4 clinicians

Practice addresses (Care Compare)

3988 W Royal Dr
Traverse City, MI 49684-9200
Phone (231) 935-0860

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101026165MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DBMJ Rehabilitation Services PLLC Physical Medicine & Rehabilitation CurrentSince Aug 1, 2023 Accepting new patients
Capital City Pain Management, PC PastSince Jul 16, 2013 Accepting new patients
Msu Health Care Inc. Past Accepting new patients
McLaren Greater Lansing Past Accepting new patients

Locations

3988 W Royal Dr
Traverse City, MI 49684
Phone (231) 421-1599

Interoperability endpoints

  • Direct secure messaging: drew.parkhurst@pmaonm.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1699209080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3988 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849200",
            "telephone_number": "231-935-0860",
            "fax_number": "231-935-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3988 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849200",
            "telephone_number": "231-935-0860",
            "fax_number": "231-935-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKHURST",
        "first_name": "DREW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101026165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.