Individual provider Active NPI

Benjamin Russell Schipper, MD

  • Internal Medicine Physician
  • Grandville, MI
National Provider Identifier
1750415238
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301081988 Issued in MI
Practice address
3185 Macatawa Dr SW
Suite a
Grandville, MI 49418-3163
Phone
(616) 391-4500
Fax
(616) 486-0130
NPI assigned
Mar 15, 2007
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301081988 MI
Internal Medicine Physician 207R00000X 4301081988 MI Primary

Addresses

Primary practice location

3185 Macatawa Dr SW
Suite a
Grandville, MI 49418-3163

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other identifiers 1

IdentifierTypeStateIssuer
4984133MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Benjamin.Schipper@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

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
I20070625000229 MI Practitioner - Pediatric MedicinePractitioner - Internal Medicine 2668571134 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Michigan State University College of Human Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115

3185 Macatawa Dr SW a
Corewell Health Medical Group West
Grandville, MI 49418-3184
Phone (616) 391-4500

3271 Clear Vista CT NE
Corewell Health Medical Group West
Grand Rapids, MI 49525-9477
Phone (616) 267-7293

4069 Lake Dr SE
Grand Rapids, MI 49546-8816

4100 Lake Dr SE
Grand Rapids, MI 49546-8292

9090 S Rodgers CT SE a
Corewell Health Medical Group West
Caledonia, MI 49316-8052
Phone (616) 891-0422

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients
Spectrum Health Hospitals CurrentSince Dec 1, 2007 Accepting new patients
Spectrum Health Hospitals Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients
Spectrum Health Hospitals CurrentSince Dec 1, 2007 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients

Locations

25 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-0800

3271 Clear Vista Ct NE
Grand Rapids, MI 49525
Phone (616) 267-7125

2249 Wealthy St SE
Ste 110
Grand Rapids, MI 49506
Phone (616) 391-4600

2332 Alpine Ave NW
Grand Rapids, MI 49544
Phone (616) 363-3311

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

3185 Macatawa Dr SW
Ste A
Grandville, MI 49418
Phone (616) 391-4500

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

Interoperability endpoints

  • Direct secure messaging: benjamin.schipper@epic00.shdirect.org
  • Direct secure messaging: bschipper4990@epic00.corewelldirect.org

Organizations & group practices 5

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 3

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1750415238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "fax_number": "616-486-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 MACATAWA DR SW",
            "address_2": "SUITE A",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494183163",
            "telephone_number": "616-391-4500",
            "fax_number": "616-486-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIPPER",
        "first_name": "BENJAMIN",
        "middle_name": "RUSSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301081988",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301081988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4984133",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Benjamin.Schipper@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "3185 Macatawa Dr SW",
            "address_2": "Suite A",
            "city": "Grandville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494183163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3185 Macatawa Dr SW",
            "address_2": "Suite A",
            "city": "Grandville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494183163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

Verify at the official NPI Registry.