Individual provider Active NPI

Robert John Lapenna, MD

  • Interventional Cardiology Physician
  • Kalamazoo, MI
National Provider Identifier
1740265636
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301037472 Issued in MI
Practice address
1717 Shaffer St
Suite 232
Kalamazoo, MI 49048-1647
Phone
(269) 226-5050
Fax
(269) 226-5034
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301037472 MI
Interventional Cardiology Physician 207RI0011X 4301037472 MI Primary

Addresses

Primary practice location

1717 Shaffer St
Suite 232
Kalamazoo, MI 49048-1647

Mailing address

1717 Shaffer St
Suite 232
Kalamazoo, MI 49048-1647
Phone (269) 226-5050

Other identifiers 1

IdentifierTypeStateIssuer
3190357MedicaidMI

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
I20070608000504 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4587576228 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Michigan State University College of Human Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Borgess HospitalGroup PAC ID 5294645750, 41 clinicians
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

1722 Shaffer St
Kalamazoo, MI 49048-1633
Phone (269) 343-1555

30 S Howell St
Borgess Cardiology Group
Hillsdale, MI 49242-1820
Phone (517) 437-2490

360 E Chicago St
Coldwater, MI 49036-2074
Phone (269) 226-5050

360 E Chicago St
Coldwater, MI 49036-2086

360 E Chicago St
Suite H
Coldwater, MI 49036-2081
Phone (517) 279-2885

7901 Angling Rd
Portage, MI 49024-0714

8450 N 32ND St
Richland, MI 49083-9418
Phone (616) 226-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301037472MIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Borgess Hospital CurrentSince Oct 1, 1983 Accepting new patients
Ascension Medical Group Promed Family Medicine Current Accepting new patients
Ascension Medical Group Promed CurrentSince Mar 1, 2009 Accepting new patients
Promed Healthcare CurrentSince Mar 1, 2009 Accepting new patients
Ascension Borgess Hospital CurrentSince Oct 1, 1983 Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Premier Medical Care P C Past Accepting new patients

Locations

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

30 S Howell St
Hillsdale, MI 49242
Phone (517) 437-2490

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

1717 Shaffer St
Ste 232
Kalamazoo, MI 49048
Phone (269) 226-5050

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

2520 Robert Jones Way
Kalamazoo, MI 49009
Phone (269) 375-0400

1722 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5600

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

215 E Mansion St
Marshall, MI 49068
Phone (269) 789-3940

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

8450 N 32nd St
Richland, MI 49083
Phone (269) 226-2500

600 S Lakeview Ave
Ste 105
Sturgis, MI 49091
Phone (269) 651-9470

Organizations & group practices 8

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 5

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1740265636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST",
            "address_2": "SUITE 232",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481647",
            "telephone_number": "269-226-5050",
            "fax_number": "269-226-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST",
            "address_2": "SUITE 232",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481647",
            "telephone_number": "269-226-5050",
            "fax_number": "269-226-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPENNA",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301037472",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301037472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3190357",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.