Active NPI
Kelly D Ybema, MD
- Neurology Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4301085566
- Practice address
- 1541 Gull Rd Ste 100
Kalamazoo, MI 49048-1645 - Phone
- (269) 381-7380
- NPI assigned
- Jan 19, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 4301085566 | MI | Primary |
Addresses
Primary practice location
1541 Gull Rd Ste 100
Kalamazoo, MI 49048-1645
Mailing address
1541 Gull Rd Ste 100
Kalamazoo, MI 49048-1645
Phone (269) 381-7380
Other practice location 1
601 John St Ste M-124
Kalamazoo, MI 49007-5377
Phone (269) 341-7500
Other names 1
- Kelly A Dermody
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct | Bronson Healthcare Group |
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
- Neurology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
601 John St
Kalamazoo, MI 49007-5377
Hospital & facility affiliations
- Bronson Methodist Hospital
- Bronson Lakeview Hospital
- Bronson Battle Creek Hospital
- Borgess Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.43 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301085566 | MI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Methodist Hospital | Neurology | Current | Accepting new patients |
| Ascension Medical Group Promed | Current | Accepting new patients | |
| Bronson Battle Creek Hospital | Current | Accepting new patients | |
| Patholgy Services of Kalamazoo, PC | Current | Accepting new patients | |
| Ascension Medical Group Promed | Current | Accepting new patients | |
| Promed Healthcare | Current | Accepting new patients | |
| Bronson Battle Creek Hospital | Neurology | Current | Accepting new patients |
Locations
300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
1541 Gull Rd
Ste 100
Kalamazoo, MI 49048
Phone (269) 226-5290
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
1541 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
Interoperability endpoints
- direct@direct.bronsonhg.org
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.
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1720009954
-
- Community/Retail Pharmacy
- Battle Creek, MI
- NPI 1740351907
-
- Anatomic Pathology & Clinical Pathology Physician
- Kalamazoo, MI
- NPI 1548243595
-
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- General Acute Care Hospital
- Battle Creek, MI
- NPI 1083644579
-
- Critical Access Hospital
- Paw Paw, MI
- NPI 1962508259
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1831179407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 GULL RD STE 100",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481645",
"telephone_number": "269-381-7380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 GULL RD STE 100",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481645",
"telephone_number": "269-381-7380"
}
],
"practiceLocations": [
{
"address_1": "601 John St Ste M-124",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490075377",
"country_code": "US",
"telephone_number": "269-341-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YBEMA",
"first_name": "KELLY",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301085566",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct address",
"affiliationName": "Bronson Healthcare Group",
"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": [
{
"first_name": "KELLY",
"last_name": "DERMODY",
"middle_name": "A",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.