Organization Active NPI

Concierge Medicine of Grand Rapids

Doing business as Concierge Medicine of West Michigan

  • Family Medicine Physician
  • Ada, MI
National Provider Identifier
1851241061
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CONCIERGE MEDICINE OF GRAND RAPIDS
Doing business as
Concierge Medicine of West Michigan
Practice address
6741 Fulton St E Ste 200
Ada, MI 49301-9502
Phone
(616) 290-1650
Fax
(833) 973-4117
NPI assigned
Jan 29, 2026
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Dr. Lara Jean Baatenburg, MDNPI 1336590843
Title
Physician, Owner
Phone
(616) 914-5384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

6741 Fulton St E Ste 200
Ada, MI 49301-9502

Mailing address

6741 Fulton St E Ste 200
Ada, MI 49301-9502
Phone (616) 290-1650

Other names 1

  • Concierge Medicine of West Michigan Doing business as

National Provider Directory

National Provider Directory

Locations

6741 Fulton St E
#200
Ada, MI 49301
Phone (616) 290-1650

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1851241061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 FULTON ST E STE 200",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019502",
            "telephone_number": "616-290-1650",
            "fax_number": "833-973-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 FULTON ST E STE 200",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019502",
            "telephone_number": "616-290-1650",
            "fax_number": "833-973-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE MEDICINE OF GRAND RAPIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "BAATENBURG",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "616-914-5384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concierge Medicine of West Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ada, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.