NPIMap

Individual provider Active NPI

Peter A Macdonald, M.D.

  • Family Medicine Physician
  • Big Rapids, MI
National Provider Identifier
1699797092
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35078527 Issued in MI
Practice address
650 Linden St
Suite 1
Big Rapids, MI 49307-1879
Phone
(231) 796-3200
Fax
(231) 796-5562
NPI assigned
Jul 24, 2006
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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 35078527 MI Primary

Addresses

Primary practice location

650 Linden St
Suite 1
Big Rapids, MI 49307-1879

Mailing address

650 Linden St
Suite 1
Big Rapids, MI 49307-1879
Phone (231) 796-3200

Other identifiers 1

IdentifierTypeStateIssuer
4419933MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pmacdonald3652@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

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
I20110303000362 MI Practitioner - Family Practice 5092997635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mecosta County Medical CenterGroup PAC ID 1951215540, 53 clinicians

Practice addresses (Care Compare)

14755 215TH Ave
Big Rapids, MI 49307-9224
Phone (231) 796-3200

8354 100TH Ave
Suite 1
Canadian Lakes, MI 49346-8345
Phone (231) 972-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078527MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mecosta County Medical Center CurrentSince Oct 2, 2011 Accepting new patients
Mecosta County Medical Center Family Medicine CurrentSince Oct 2, 2011 Accepting new patients
Mecosta County Medical Center Current Accepting new patients
Osu Family Practice Services Family Medicine Past Accepting new patients
Osu Family Practice Services Past Accepting new patients

Locations

14755 215th Ave
Big Rapids, MI 49307
Phone (231) 796-3200

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

650 Linden St
Ste 1
Big Rapids, MI 49307
Phone (231) 796-3200

705 Oak St
Unit 11
Big Rapids, MI 49307
Phone (231) 592-1002

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

Interoperability endpoints

  • Direct secure messaging: pmacdonald3652@epic00.corewelldirect.org
  • Direct secure messaging: pmacdonald3652@epic00.shdirect.org

Organizations & group practices 5

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 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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1699797092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 LINDEN ST",
            "address_2": "SUITE 1",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071879",
            "telephone_number": "231-796-3200",
            "fax_number": "231-796-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 LINDEN ST",
            "address_2": "SUITE 1",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071879",
            "telephone_number": "231-796-3200",
            "fax_number": "231-796-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "PETER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "35078527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4419933",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmacdonald3652@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "650 Linden St",
            "address_2": "Suite 1",
            "city": "Big Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493071879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "650 Linden St",
            "address_2": "Suite 1",
            "city": "Big Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493071879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.