Individual provider Active NPI

Rhonda Mejeur, MD

  • Family Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1790738193
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301068483 Issued in MI
Practice address
245 Cherry St SE
Ste 100
Grand Rapids, MI 49503-4607
Phone
(616) 685-3200
Fax
(616) 458-3526
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301068483 MI Primary

Addresses

Primary practice location

245 Cherry St SE
Ste 100
Grand Rapids, MI 49503-4607

Mailing address

245 State St SE
Grand Rapids, MI 49503-4328
Phone (616) 685-8050

Other identifiers 7

IdentifierTypeStateIssuer
4345992MedicaidMI
4895946MedicaidMI
4346013MedicaidMI
4346022MedicaidMI
4339242MedicaidMI
4328599MedicaidMI
4330640MedicaidMI

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
I20060908000353 MI Practitioner - Family PracticePractitioner - Addiction Medicine 4587668330 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary'S Medical Group CurrentSince Jul 1, 2010 Accepting new patients
Cherry Street Services, Inc. Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Cherry Street Services, Inc CurrentSince Feb 1, 2021 Accepting new patients
Advantage Health/Saint Mary'S Medical Group CurrentSince Jul 1, 2010 Accepting new patients
Advantage Health/Saint Mary'S Medical Group Current Accepting new patients
Advantage Health Physicians PC Family Medicine Past Accepting new patients
Cherry Street Health Services Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

245 Cherry St SE
Ste 100
Grand Rapids, MI 49503
Phone (616) 685-3200

550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

2303 Kalamazoo Ave SE
Ste 200
Grand Rapids, MI 49507
Phone (616) 965-8379

421 Fountain St NE
Grand Rapids, MI 49503
Phone (616) 776-5120

245 State St SE
Ste 1A
Grand Rapids, MI 49503

245 State St SE
Grand Rapids, MI 49503
Phone (616) 685-1808

100 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 965-8209

3380 44th St SW
Grandville, MI 49418
Phone (616) 685-8250

Interoperability endpoints

  • Direct secure messaging: rhonda.mejeur.p1@direct.cherryhealth.nextgenshare.com

Organizations & group practices 7

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1790738193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 STATE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034328",
            "telephone_number": "616-685-8050",
            "fax_number": "616-685-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CHERRY ST SE",
            "address_2": "STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034607",
            "telephone_number": "616-685-3200",
            "fax_number": "616-458-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJEUR",
        "first_name": "RHONDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301068483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4345992",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4895946",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4346013",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4346022",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4339242",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4328599",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4330640",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.