Individual provider Active NPI

Jeffrey L Stuk, DO

  • Diagnostic Radiology Physician
  • Grand Haven, MI
National Provider Identifier
1700801081
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5101011633 Issued in MI
Practice address
1309 Sheldon Rd
Grand Haven, MI 49417-2404
Phone
(616) 847-5232
Fax
(616) 847-5231
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5101011633 MI Primary

Addresses

Primary practice location

1309 Sheldon Rd
Grand Haven, MI 49417-2404

Mailing address

PO Box 5617
Saginaw, MI 48603-0617
Phone (989) 401-4245

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
I20050329000495 MI Practitioner - Diagnostic Radiology 9537054788 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Michigan State University College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Muskegon, PCGroup PAC ID 1355241191, 22 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians

Practice addresses (Care Compare)

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-3955

1700 Clinton St
Muskegon, MI 49442-5502
Phone (231) 728-4948

411 Leggat St
Grand Haven, MI 49417-1721
Phone (219) 767-6320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.54
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Nov 16, 2019 Accepting new patients
Breast Health & Wellness Center PC CurrentSince Aug 15, 2022 Accepting new patients
Radiology Muskegon PC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Lakeshore Imaging Consultants, PLC Past Accepting new patients

Locations

1309 Sheldon Rd
Grand Haven, MI 49417
Phone (616) 842-3600

655 Kenmoor Ave SE
Ste 201
Grand Rapids, MI 49546
Phone (616) 920-0825

1700 Clinton St
Muskegon, MI 49442
Phone (231) 726-3511

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

Interoperability endpoints

  • Direct secure messaging: jstuk3204933@direct.trinity-health.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 and National Provider Directory roles.

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1700801081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5617",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486030617",
            "telephone_number": "989-401-4245",
            "fax_number": "989-401-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 SHELDON RD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172404",
            "telephone_number": "616-847-5232",
            "fax_number": "616-847-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUK",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101011633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.