Jennifer Houtman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

JH075631 Issued in MI

Practice address

4613 W Main St
Suite a
Kalamazoo, MI 49006-2645

Phone

(269) 488-8672

Fax

(269) 488-8673

NPI assigned

Nov 4, 2005

Last updated

Jun 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Inspired Health & Wellness PLLC

  dba Inspired Health & Wellness

  • Family Medicine Physician
  • Kalamazoo, MI
  • NPI 1487296760
  NPD Authorized official
• Patholgy Services of Kalamazoo, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Kalamazoo, MI
  • NPI 1548243595
  NPD
• Pathology Services of Southwestern Michigan, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Allegan, MI
  • NPI 1427031483
  NPD
• Bronson Practice Management

  • Internal Medicine Physician
  • Kalamazoo, MI
  • NPI 1104840529

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1750372033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 W MAIN ST",
            "address_2": "STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062698",
            "telephone_number": "269-349-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 W MAIN ST",
            "address_2": "SUITE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062645",
            "telephone_number": "269-488-8672",
            "fax_number": "269-488-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUTMAN",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "JH075631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA1068",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "JH075631",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MI",
            "identifier": "23904",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P25914F",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP PROV #",
            "identifier": "01-31681",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2334854",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5218152",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Hough, BSW
• Bella Judith Hounakey
• Katelyn Housey, MSW
• Housing Resources Inc
• Housing Resources, Inc. of Kalamazoo County
• Rylee Hovanec
• Michael Hovde, ATC, LAT
• Elise Hovenkamp
• Avery Howard
• Hillary Howard, M.S.W.

• Family Medicine Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.