Individual provider Active NPI

Lisa Michele Thiel, D.O.

  • Obstetrics & Gynecology Physician
  • Grand Rapids, MI
National Provider Identifier
1699898940
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101016990 Issued in MI
Practice address
25 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2572
Phone
(616) 391-3681
NPI assigned
Apr 9, 2007
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101016990 MI Primary
Maternal & Fetal Medicine Physician 207VM0101X 5101016990 MI
Obstetrics Physician 207VX0000X 5101016990 MI

Addresses

Primary practice location

25 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2572

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lthiel206729@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: 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
I20180104000660 MI Practitioner - Obstetrics/Gynecology 6901057280 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Women's Health ServicesGroup PAC ID 9133171358, 11 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115

1675 Leahy St
Suite 201a
Muskegon, MI 49442-5542
Phone (231) 672-6600

25 Michigan St NE
Corewell Health Medical Group West
Grand Rapids, MI 49503-2515
Phone (616) 267-8950

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

588 E Lakewood Blvd FL
Holland, MI 49424-2023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101016990MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Hospital Obstetrics & Gynecology CurrentSince Apr 1, 2018 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Mar 6, 2023 Accepting new patients
Spectrum Health Primary Care Partners Obstetrics & Gynecology CurrentSince Feb 5, 2018 Accepting new patients
Mercy Women's Health Services Obstetrics & Gynecology CurrentSince Jul 10, 2018 Accepting new patients
Spectrum Health Hospitals Obstetrics & Gynecology CurrentSince Jun 26, 2019 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Feb 5, 2018 Accepting new patients
Metropolitan Hospital CurrentSince Apr 1, 2018 Accepting new patients
Spectrum Health Hospitals CurrentSince Jun 26, 2019 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Mar 6, 2023 Accepting new patients
West Michigan OB/GYN PC Maternal & Fetal Medicine PastSince Mar 1, 2010 Accepting new patients

Locations

7985 S Mackinaw Trl
Ste 201
Cadillac, MI 49601
Phone (231) 779-5277

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

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

221 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1405

25 Michigan St NE
Ste 5200
Grand Rapids, MI 49503
Phone (616) 391-3681

330 Barclay Ave NE
Grand Rapids, MI 49503
Phone (616) 391-8810

426 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-7888

80 68th St SE
Ste 301
Grand Rapids, MI 49548
Phone (616) 391-3302

4249 Parkway Place Dr SW
Ste C
Grandville, MI 49418
Phone (616) 774-7035

1005 W Green St
Ste 202
Hastings, MI 49058
Phone (269) 948-0078

588 E Lakewood Blvd
Fl 2
Holland, MI 49424
Phone (616) 494-5800

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

3220 Discovery Dr
Ste 210
Lansing, MI 48910
Phone (517) 484-0004

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

5 Atkinson Dr
Ludington, MI 49431
Phone (231) 733-7777

1675 Leahy St
Ste 201A
Muskegon, MI 49442
Phone (231) 672-6600

3950 Hollywood Rd
Ste 240
Saint Joseph, MI 49085
Phone (269) 428-4411

781 36th St SE
Wyoming, MI 49548
Phone (616) 252-4100

Interoperability endpoints

  • Direct secure messaging: lthiel206729@epic00.corewelldirect.org

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1699898940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MICHIGAN ST NE STE 5200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032572",
            "telephone_number": "616-391-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEL",
        "first_name": "LISA",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101016990",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MI",
            "license": "5101016990",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MI",
            "license": "5101016990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lthiel206729@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "25 Michigan St NE Ste 5200",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495032572",
            "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": "25 Michigan St NE Ste 5200",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495032572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.