Active NPI
Optimed Health Partners Inc
- Infusion Therapy Clinic/Center
- Kalamazoo, MI
National Provider Identifier
1730624339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Specialty Pharmacy
- Kalamazoo, MI
- NPI 1033489562
O20160608001906, O20210217002719
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Kalamazoo, MI
- NPI 1023356334
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.