Individual provider Active NPI

Kathryn M Grossman, MD

  • Internal Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1780658146
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301080105 Issued in MI
Practice address
601 John St
Kalamazoo, MI 49007
Phone
(269) 341-8481
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
Yes

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X KG080105 MI
Internal Medicine Physician 207R00000X 4301080105 MI Primary

Addresses

Primary practice location

601 John St
Kalamazoo, MI 49007

Mailing address

13320 N Boulevard St
Vicksburg, MI 49097-1514
Phone (269) 649-2012

Other practice location 1

13320 N Boulevard St
Vicksburg, MI 49097-1514
Phone (269) 649-2012

Other identifiers 2

IdentifierTypeStateIssuer
4893119MedicaidMI
CA2184OtherMIRAILROAD MEDICARE

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
I20050822001100 MI Practitioner - Internal MedicinePractitioner - Hospitalist 7810928645 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

300 N Ave
Battle Creek, MI 49017-3307
Phone (888) 258-0875

601 John St
Kalamazoo, MI 49007-5341

601 John St
Kalamazoo, MI 49007-5377

Hospital & facility affiliations

  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KG080105MIMDFamily Medicine Physician
4301080105MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians-Michigan, PLLC Single Specialty CurrentSince Oct 1, 2017 Accepting new patients
Ascension Borgess Hospital Single Specialty CurrentSince Jan 16, 2017 Accepting new patients
Bronson Methodist Hospital Single Specialty CurrentSince Jul 12, 2018 Accepting new patients
Complexcare Medical Group Midwest H PLLC Single Specialty CurrentSince Jun 10, 2025 Accepting new patients
Ascension Borgess Hospital Internal Medicine CurrentSince Jan 16, 2017 Accepting new patients
Patholgy Services of Kalamazoo, PC Single Specialty Current Accepting new patients
Theoria Medical Single Specialty CurrentSince Nov 25, 2024 Accepting new patients
Ascension Borgess Hospital Single Specialty Current Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Bronson Methodist Hospital Past Accepting new patients

Locations

270 Bedford Rd N
Battle Creek, MI 49037
Phone (269) 968-2296

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

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

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1541 Gull Rd
Ste 100
Kalamazoo, MI 49048
Phone (269) 226-5290

601 John St
#74
Kalamazoo, MI 49007
Phone (269) 341-8481

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

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

411 Naomi St
Plainwell, MI 49080
Phone (269) 685-0700

13320 N Boulevard St
Vicksburg, MI 49097
Phone (269) 649-2012

Interoperability endpoints

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

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1780658146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13320 N BOULEVARD ST",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490971514",
            "telephone_number": "269-649-2012",
            "fax_number": "269-649-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49007",
            "telephone_number": "269-341-8481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13320 N Boulevard St",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MI",
            "postal_code": "490971514",
            "country_code": "US",
            "telephone_number": "269-649-2012",
            "fax_number": "269-649-3752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "KG080105",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301080105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4893119",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA2184",
            "state": "MI"
        }
    ],
    "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.