Active NPI
Yelena Yavich, MD
- Internal Medicine Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301062451
- Practice address
- 4100 Lake Dr SE
S-200
Grand Rapids, MI 49546-8292 - Phone
- (616) 974-4820
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301062451 | MI | Primary |
Addresses
Primary practice location
4100 Lake Dr SE
S-200
Grand Rapids, MI 49546-8292
Mailing address
100 Michigan St NE
Mc845
Grand Rapids, MI 49503-2560
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Center for Physical Rehabilitation Inc
Practice addresses (Care Compare)
5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808
5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808
Hospital & facility affiliations
- Mary Free Bed at Home, LLC
- Spectrum Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301062451 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Internal Medicine | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Internal Medicine | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Baxter Community Center | Current | Accepting new patients |
Locations
4069 Lake Dr SE
Ste 117
Grand Rapids, MI 49546
Phone (616) 267-8600
4085 Burton St SE
Ste 200
Grand Rapids, MI 49546
935 Baxter St SE
Grand Rapids, MI 49506
Phone (616) 215-4544
4100 Lake Dr SE
#S200
Grand Rapids, MI 49546
Phone (616) 949-8244
2249 Wealthy St SE
Ste 110
Grand Rapids, MI 49506
Phone (616) 391-4600
1300 Michigan St NE
Ste 103
Grand Rapids, MI 49503
Phone (616) 459-8338
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
602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
4310 Leonard St NW
Ste 103
Walker, MI 49534
Phone (616) 453-0600
Interoperability endpoints
- yyavich532@epic00.corewelldirect.org
- yelena.yavich@epic00.shdirect.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 and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Grand Rapids, MI
- NPI 1164625109
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Physical Therapy Clinic/Center
- Grand Rapids, MI
- NPI 1902288863
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- Urgent Care Clinic/Center
- Grand Rapids, MI
- NPI 1821422007
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Grand Rapids, MI
- NPI 1023477478
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1780630772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"address_2": "MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 LAKE DR SE",
"address_2": "S-200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468292",
"telephone_number": "616-974-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAVICH",
"first_name": "YELENA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301062451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.