Individual provider Active NPI

Todd Vroegop, PA-C

  • Physician Assistant
  • Grand Rapids, MI
National Provider Identifier
1699712059
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003056 Issued in MI
Practice address
2060 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-6113
Phone
(616) 956-6100
Fax
(616) 956-6400
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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 5601003056 MI Primary

Addresses

Primary practice location

2060 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-6113

Mailing address

2060 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-6113
Phone (616) 956-6100

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
I20070612000623 MI Practitioner - Physician Assistant 0840398046 Reassigns benefits to 4 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
Advantage Health/Saint Mary'S Medical GroupGroup PAC ID 4082807961, 499 clinicians
Midwest Institute of Health PCGroup PAC ID 2466516091, 13 clinicians

Practice addresses (Care Compare)

10047 Crossroad CT SE
Caledonia, MI 49316-7316
Phone (616) 685-8850

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-5000

2060 E Paris Ave NE
Suite 100
Grand Rapids, MI 49546-6113

2060 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-6113
Phone (616) 956-6100

Hospital & facility affiliations

  • Mercy Health Saint Mary'S Hospital, Grand Rapids, MI, CCN 230059
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Marquette Physician Practices Inc Physician Assistant CurrentSince Apr 26, 2024 Accepting new patients
Advantage Health Saint Mary'S Medical Group Physician Assistant CurrentSince Jul 1, 2014 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Jul 1, 2014 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Apr 26, 2024 Accepting new patients
Michigan Medical Patient Care Past Accepting new patients
DLP Marquette Physician Practices Inc Past Accepting new patients
Michigan Medical Patient Care Past Accepting new patients
Schoolcraft Memorial Hospital Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

2060 East Paris Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 464-4620

4085 Burton St SE
Ste 200
Grand Rapids, MI 49546

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

1300 Michigan St NE
Ste 103
Grand Rapids, MI 49503
Phone (616) 459-8338

4100 Lake Dr SE
Ste 202
Grand Rapids, MI 49546
Phone (616) 974-4400

100 Michigan St NE
#19
Grand Rapids, MI 49503
Phone (616) 391-1969

3232 N Wellness Dr
Holland, MI 49424
Phone (616) 494-4250

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

7870W US Highway 2
Manistique, MI 49854
Phone (906) 341-2153

1400 W Washington St
Marquette, MI 49855
Phone (906) 449-1460

580 W College Ave
Fl 6
Marquette, MI 49855

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

Interoperability endpoints

  • Direct secure messaging: todd.vroegop.1@8233.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/71812193-7aa5-42d8-ba4c-ee45e2ea853f/

Organizations & group practices 12

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1699712059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 E PARIS AVE SE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466113",
            "telephone_number": "616-956-6100",
            "fax_number": "616-956-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E PARIS AVE SE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466113",
            "telephone_number": "616-956-6100",
            "fax_number": "616-956-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VROEGOP",
        "first_name": "TODD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.