Individual provider Active NPI

Richard H Kammenzind, M.D.

  • Nephrology Physician
  • Kalamazoo, MI
National Provider Identifier
1760426266
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301073526 Issued in MI
Practice address
601 John St
Suite M-170
Kalamazoo, MI 49007-5341
Phone
(269) 381-5060
Fax
(269) 381-1655
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301073526 MI
Nephrology Physician 207RN0300X 4301073526 MI Primary

Addresses

Primary practice location

601 John St
Suite M-170
Kalamazoo, MI 49007-5341

Mailing address

601 John St
Suite M170A
Kalamazoo, MI 49007-5341
Phone (269) 381-5060

Other identifiers 4

IdentifierTypeStateIssuer
1103053510OtherMIBCBS IND PIN
110C910470OtherMIBCBS GRP PIN
4457836-10MedicaidMI
4016855OtherAETNA PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct

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
I20100429000661 MI Practitioner - Internal MedicinePractitioner - UrologyPractitioner - Nephrology 3779595046 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson South Haven Hospital CurrentSince Aug 26, 2018 Accepting new patients
Bronson Methodist Hospital CurrentSince Dec 1, 2015 Accepting new patients
Bronson South Haven Hospital Internal Medicine CurrentSince Aug 26, 2018 Accepting new patients
Healthcare Midwest, PC Past Accepting new patients

Locations

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste M-170
Kalamazoo, MI 49007
Phone (269) 343-3939

601 John St
Ste M-170A
Kalamazoo, MI 49007
Phone (269) 381-5060

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

291 W Centre Ave
Portage, MI 49024
Phone (269) 488-8430

965 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2772

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

955 S Bailey Ave
South Haven, MI 49090
Phone (269) 637-5271

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1760426266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "SUITE M170A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-381-5060",
            "fax_number": "269-381-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "SUITE M-170",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-381-5060",
            "fax_number": "269-381-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMENZIND",
        "first_name": "RICHARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301073526",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301073526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND PIN",
            "identifier": "1103053510",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP PIN",
            "identifier": "110C910470",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4457836-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "4016855",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.