Active NPI
Ashley Kay Dupuis
- Obstetrics & Gynecology Physician
- Saint Joseph, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5101019173
- Practice address
- 3950 Hollywood Rd
Suite 100
Saint Joseph, MI 49085-9159 - Phone
- (269) 429-8010
- Fax
- (269) 408-0986
- NPI assigned
- Mar 4, 2011
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5101019173 | MI | Primary |
Addresses
Primary practice location
3950 Hollywood Rd
Suite 100
Saint Joseph, MI 49085-9159
Mailing address
3950 Hollywood Rd
Suite 100
Saint Joseph, MI 49085-9159
Phone (269) 429-8010
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
- Obstetrics/Gynecology
- Education
- Michigan State University College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3950 Hollywood Rd
Saint Joseph, MI 49085-9151
Phone (269) 429-0900
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101019173 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercare Community Health Network | Current | Accepting new patients | |
| Intercare Community Health Network | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Intercare Community Health Network | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Past | Accepting new patients |
Locations
308 Charles St
Bangor, MI 49013
Phone (269) 427-7967
50 Industrial Park Rd
Bangor, MI 49013
Phone (269) 427-7937
870 Colfax Ave
Benton Harbor, MI 49022
Phone (269) 605-1277
800 M 139
Benton Harbor, MI 49022
Phone (269) 927-5400
7450 Hochberger Rd
Eau Claire, MI 49111
Phone (855) 869-6900
285 James St
Holland, MI 49424
Phone (616) 399-0200
538 Washington St
Otsego, MI 49078
Phone (269) 694-7873
5498 109th Ave
Pullman, MI 49450
Phone (269) 236-5021
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
3950 Hollywood Rd
Ste 100
Saint Joseph, MI 49085
Phone (269) 429-0900
Interoperability endpoints
- adupuis1269249@epic00.corewelldirect.org
- ashley.dupuis@ichn.eclinicaldirectplus.com
- adupuis22931@lakeland.midirect.net
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Federally Qualified Health Center (FQHC)
- Bangor, MI
- NPI 1326058512
-
- Federally Qualified Health Center (FQHC)
- Eau Claire, MI
- NPI 1336701119
-
- Federally Qualified Health Center (FQHC)
- Benton Harbor, MI
- NPI 1902235328
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1821396599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 HOLLYWOOD RD",
"address_2": "SUITE 100",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859159",
"telephone_number": "269-429-8010",
"fax_number": "269-408-0986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 HOLLYWOOD RD",
"address_2": "SUITE 100",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859159",
"telephone_number": "269-429-8010",
"fax_number": "269-408-0986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPUIS",
"first_name": "ASHLEY",
"middle_name": "KAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-04",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101019173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.