Organization Active NPI

Optimed Health Partners Inc

  • Infusion Therapy Clinic/Center
  • Kalamazoo, MI
National Provider Identifier
1730624339
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
OPTIMED HEALTH PARTNERS INC
Practice address
6480 Technology Ave Suite a
Kalamazoo, MI 49009
Phone
(269) 250-8000
Fax
(269) 250-8020
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Andrew James Reeves, R.PH.
Title
Ceo/Vice President
Phone
(269) 250-8018

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

6480 Technology Ave Suite a
Kalamazoo, MI 49009

Mailing address

6480 Technology Ave Suite a
Kalamazoo, MI 49009
Phone (269) 250-8000

Other names 1

  • DBA: OptiMed Infusion Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160608001906 MI DME Supplier - Pharmacy 1951691633 1 other NPI on this enrollment
Practice locations: Kalamazoo, MI
O20210217002719 MI Part B Supplier - Mass Immunization (Roster Biller Only) 1951691633 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kalamazoo, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

154 S Kalamazoo Mall
Kalamazoo, MI 49007
Phone (269) 250-8000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1730624339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 TECHNOLOGY AVE SUITE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49009",
            "telephone_number": "269-250-8000",
            "fax_number": "269-250-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 TECHNOLOGY AVE SUITE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49009",
            "telephone_number": "269-250-8000",
            "fax_number": "269-250-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMED HEALTH PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO/VICE PRESIDENT",
        "authorized_official_telephone_number": "269-250-8018",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: OptiMed Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.