NPIMap

Individual provider Active NPI

Ronald E Seagle, M.D.

  • Family Medicine Physician
  • Watervliet, MI
National Provider Identifier
1699744953
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301067076 Issued in MI
Practice address
400 Medical Park Dr
Watervliet, MI 49098-9225
Phone
(269) 985-4467
NPI assigned
Mar 17, 2006
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301067076 MI Primary

Addresses

Primary practice location

400 Medical Park Dr
Watervliet, MI 49098-9225

Mailing address

400 Medical Park Dr
Watervliet, MI 49098-9225
Phone (269) 985-4467

Other practice location 1

222 N Kalamazoo Mall
Suite 100
Kalamazoo, MI 49007-3882
Phone (269) 345-0273

Other identifiers 2

IdentifierTypeStateIssuer
4183983MedicaidMI
0803904381OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051110000601 MI Practitioner - Family Practice 7810915550 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

288 Peace Blvd
Saint Joseph, MI 49085-9562
Phone (269) 556-9050

400 Medical Park Dr
Watervliet, MI 49098-9225
Phone (269) 463-3600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Community Hospital Watervliet Family Medicine Current Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Aug 6, 2025 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jun 10, 2025 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Aug 6, 2025 Accepting new patients
Lakeland Medical Practices CurrentSince Aug 6, 2025 Accepting new patients
Lakeland Medical Practices CurrentSince Aug 6, 2025 Accepting new patients
Theoria Medical CurrentSince Oct 7, 2024 Accepting new patients
Mercy Memorial Health Services Inc Past Accepting new patients
Optalis Three Rivers Opco LLC Past Accepting new patients
Hospice Care of Southwest Michigan Family Medicine Past Accepting new patients
Western Michigan University School of Medicine Past Accepting new patients
Hospice Care of Southwest Michigan Past Accepting new patients
Michigan State University Kalamazoo Center for Medical Studies Past Accepting new patients
Grand Haven Opco LLC Past Accepting new patients

Locations

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

117 W Paterson St
Kalamazoo, MI 49007

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

288 Peace Blvd
Saint Joseph, MI 49085
Phone (269) 556-9050

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

4368 Cleveland Ave
Stevensville, MI 49127
Phone (269) 429-0710

400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111

Interoperability endpoints

  • FHIR API: https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
  • Direct secure messaging: rseagle2923760@epic00.corewelldirect.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Corewell Health Rehabilitation & Nursing Center - Pine RidgeStevensville, MI, CCN 235164 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 28, 2024
Oct 28, 2024
Centrica Care NavigatorsKalamazoo, MI, CCN 231505 Hospice W-2 Managing Employee Aug 14, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1699744953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989225",
            "telephone_number": "269-985-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989225",
            "telephone_number": "269-985-4467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 N Kalamazoo Mall",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490073882",
            "country_code": "US",
            "telephone_number": "269-345-0273",
            "fax_number": "269-345-8522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEAGLE",
        "first_name": "RONALD",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301067076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4183983",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0803904381",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watervliet, MI

Sources for this page

Verify at the official NPI Registry.