Individual provider Active NPI

Heather Fay Grothous, D.O.

  • Emergency Medicine Physician
  • Lansing, MI
National Provider Identifier
1730475104
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
02008373A Issued in IN
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(517) 353-8122
Fax
(517) 432-9414
NPI assigned
Jun 23, 2011
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101019479 MI
Emergency Medicine Physician 207P00000X 02008373A IN Primary

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 353-8122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151029001107 MI Practitioner - Emergency Medicine 9830408004 Reassigns benefits to 4 organizations
I20250725000200 IN Practitioner - Emergency Medicine 9830408004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Bend Emergency Physicians IncGroup PAC ID 0941282354, 51 clinicians
Southwestern Michigan Emergency Services, PCGroup PAC ID 1456265891, 69 clinicians

Practice addresses (Care Compare)

615 N Michigan St
South Bend, IN 46601-1033
Phone (574) 647-1000

955 S Bailey Ave
South Haven, MI 49090-6743
Phone (269) 637-5271

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019479MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Michigan Emergency Services, PC CurrentSince Feb 7, 2018 Accepting new patients
Sparrow Ionia Hospital CurrentSince Sep 20, 2015 Accepting new patients
Sparrow Clinton Hospital CurrentSince Sep 20, 2015 Accepting new patients
Sparrow Clinton Hospital CurrentSince Sep 20, 2015 Accepting new patients
Sparrow Clinton Hospital Emergency Medicine Current Accepting new patients
Bronson Methodist Hospital CurrentSince Aug 4, 2024 Accepting new patients
South Bend Emergency Physicians, Inc Emergency Medicine CurrentSince May 22, 2025 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Sparrow Ionia Hospital CurrentSince Sep 20, 2015 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967

3220 Beacon Pkwy
Granger, IN 46530
Phone (574) 647-8788

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

615 N Michigan St
Ste Ecc
South Bend, IN 46601

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1498

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

940 John St
Kalamazoo, MI 49001
Phone (269) 343-7296

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

408 Hazen St
Paw Paw, MI 49079
Phone (269) 341-8481

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

955 S Bailey Ave
South Haven, MI 49090
Phone (269) 637-5271

Organizations & group practices 9

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 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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1730475104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "517-353-8122",
            "fax_number": "517-432-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "517-353-8122",
            "fax_number": "517-432-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTHOUS",
        "first_name": "HEATHER",
        "middle_name": "FAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101019479",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02008373A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.