Individual provider Active NPI

Kelly D Ybema, MD

  • Neurology Physician
  • Kalamazoo, MI
National Provider Identifier
1831179407
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301085566 Issued in MI
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

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050926000519 MI Practitioner - Neurology 2860426103 Reassigns benefits to 3 organizations

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
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

601 John St
Kalamazoo, MI 49007-5377

Hospital & facility affiliations

  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Bronson Lakeview Hospital Hospital, Paw Paw, MI, CCN 231332
  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075
  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
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

LicenseStateTypeSpecialty
4301085566MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Methodist Hospital Neurology CurrentSince Aug 1, 2005 Accepting new patients
Ascension Medical Group Promed CurrentSince Jan 8, 2018 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Sep 1, 2023 Accepting new patients
Patholgy Services of Kalamazoo, PC Current Accepting new patients
Ascension Medical Group Promed Current Accepting new patients
Promed Healthcare CurrentSince Jan 8, 2018 Accepting new patients
Bronson Battle Creek Hospital Neurology CurrentSince Sep 1, 2023 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 secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.