Mitchell Doerr, MD
Individual provider Active NPI Family Medicine Physician · Greenville, MI
NPI 1801682091 · NPPES record last updated May 13, 2026
Key facts
- NPI
- 1801682091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4351054884 (MI)
- Practice address
- 1202 W Oak St Ste 200
Greenville, MI 48838-2155 - Phone
- (616) 754-4685
- NPI assigned
- Apr 16, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250618002666 | MI | Order and Referring Only - Physical Medicine and Rehabilitation |
7012428758 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351054884 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health United | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4351054884 | MI | Yes |
Addresses
Primary practice location
1202 W Oak St Ste 200
Greenville, MI 48838-2155
Mailing address
1202 W Oak St Ste 200
Greenville, MI 48838-2155
Phone (616) 754-4685
Other providers in Greenville, MI
- Dekraker Cushman PC
- Matthew Peter Dekraker
- Samantha Lynn Denslow
- Matthew B Dewys
- Joy Dickinson
- Domenico S Ausiello MD PC
- Julie Ann Dragt
- Delaney Sue Drumm
- DTG II PLLC
- Brayden Gerald Durfee
All providers in Greenville, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.