NPIMap

Organization Active NPI

Metropolitan Hospital

Doing business as Metro Health Hospital

  • Internal Medicine Physician
  • Wyoming, MI
National Provider Identifier
1811937519
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
410060 Issued in MI
Legal business name
METROPOLITAN HOSPITAL
Doing business as
Metro Health Hospital
Practice address
5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone
(616) 252-7200
Fax
(616) 252-7830
NPI assigned
Jun 8, 2006
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
METROPOLITAN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Misty G Russian
Title
Regional Manager, Provider Enrollme
Phone
(517) 626-0599

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 410060 MI Primary
Psychiatry Physician 2084P0800X 410060 MI

Addresses

Primary practice location

5900 Byron Center Ave SW
Wyoming, MI 49519-9606

Mailing address

985 Gezon Pkwy SW
Wyoming, MI 49509-9563
Phone (616) 252-4655

Other identifiers 1

IdentifierTypeStateIssuer
700D160780OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Metro Health Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MT, IL, NV4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040507000012 MI Part B Supplier - Clinic/Group Practice 5597651836 Receives reassigned benefits from 770 practitioners
4 other NPIs on this enrollment
Practice locations: Grand Rapids, MI; Grandville, MI; Greenville, MI; Holland, MI; Hudsonville, MI; Jenison, MI; Lowell, MI; Rockford, MI…
O20201014002817 MT Part B Supplier - Clinic/Group Practice 5597651836 Receives reassigned benefits from 1 practitioner
Practice locations: Billings, MT
O20220608003014 IL Part B Supplier - Clinic/Group Practice 5597651836 Receives reassigned benefits from 1 practitioner
Practice locations: St Charles, IL
O20230928003306 NV Part B Supplier - Clinic/Group Practice 5597651836 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

10383 42nd Ave
Allendale, MI 49401
Phone (616) 252-6030

4830 Becker Dr
Allendale, MI 49401
Phone (616) 252-3376

1500 E Medical Center Dr
#L1242
Ann Arbor, MI 48109
Phone (734) 764-5177

4055 Cascade Rd SE
Ste 103
Grand Rapids, MI 49546
Phone (616) 252-7494

4055 Cascade Rd SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 252-6100

770 Kenmoor Ave SE
Ste 301
Grand Rapids, MI 49546
Phone (616) 252-4407

806 Alger St SE
Grand Rapids, MI 49507
Phone (616) 252-8923

3912 32nd Ave
Hudsonville, MI 49426
Phone (616) 252-8700

2215 44th St SW
Ste 201
Wyoming, MI 49519
Phone (616) 252-8300

5722 Metro Way SW
#B
Wyoming, MI 49519
Phone (616) 252-7778

5900 Byron Center Ave SW
#U
Wyoming, MI 49519
Phone (616) 252-3243

Practitioners & affiliated clinicians

Practitioners 791

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 791

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1811937519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 GEZON PKWY SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099563",
            "telephone_number": "616-252-4655",
            "fax_number": "616-252-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BYRON CENTER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199606",
            "telephone_number": "616-252-7200",
            "fax_number": "616-252-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METROPOLITAN HOSPITAL",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "RUSSIAN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "REGIONAL MANAGER, PROVIDER ENROLLME",
        "authorized_official_telephone_number": "517-626-0599"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "410060",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "410060",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "700D160780",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Health Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.