Individual provider Active NPI

Rachelle Savalli, DO

  • Family Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1770933848
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101022495 Issued in MI
Practice address
625 Kenmoor Ave Suite 301, PMB 92303
Grand Rapids, MI 49546
Phone
(586) 788-9986
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101022495 MI Primary
Obesity Medicine (Family Medicine) Physician 207QB0002X 89998146 MI

Addresses

Primary practice location

625 Kenmoor Ave Suite 301, PMB 92303
Grand Rapids, MI 49546

Mailing address

625 Kenmoor Ave Suite 301, PMB 92303
Grand Rapids, MI 49546
Phone (586) 788-9986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, LA, OK, KY, WI, TN6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20190531000544 MI Practitioner - Family Practice 2264785567 Reassigns benefits to 2 organizations
I20220128000597 LA Practitioner - Family Practice 2264785567
I20220128000716 OK Practitioner - Family Practice 2264785567
I20220129000358 KY Practitioner - Family Practice 2264785567 Reassigns benefits to 1 organization
I20220209002634 WI Practitioner - Family Practice 2264785567 Reassigns benefits to 1 organization
I20220310002394 TN Practitioner - Family Practice 2264785567 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4646TNMDProfessional Counselor
5101022495MIMDFamily Medicine Physician
89998146MIMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System CurrentSince May 1, 2019 Accepting new patients
Henr Y Ford Health System Family Medicine CurrentSince May 1, 2019 Accepting new patients
Henry Ford Health System Current Accepting new patients

Locations

1961 S Telegraph Rd
Bloomfield Township, MI 48302
Phone (248) 319-6190

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

3500 15 Mile Rd
Sterling Hts, MI 48310
Phone (586) 977-9300

Interoperability endpoints

  • Direct secure messaging: rsekol377989@direct.hfhs.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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1770933848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SUITE 301, PMB 92303",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "586-788-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SUITE 301, PMB 92303",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "586-788-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVALLI",
        "first_name": "RACHELLE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101022495",
            "primary": true
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "MI",
            "license": "89998146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.