NPIMap

Organization Active NPI

Ih Physician Services PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Clinton Township, MI
National Provider Identifier
1881432060
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
IH PHYSICIAN SERVICES PC
Practice address
39425 Garfield Rd Ste 22a
Clinton Township, MI 48038-4651
Phone
(586) 649-3181
Fax
(586) 649-3182
NPI assigned
Jul 19, 2024
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Janet L. Combs
Title
VP of Licensure
Phone
(704) 662-1761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU Primary

Addresses

Primary practice location

39425 Garfield Rd Ste 22a
Clinton Township, MI 48038-4651

Mailing address

PO Box 4060
Attn: Regulatory
Mooresville, NC 28117-4060
Phone (704) 664-2876

Other practice location 1

3033 Orchard Vista Dr SE Ste 307
Grand Rapids, MI 49546-7077
Phone (704) 664-2876

Other practice location 2

695 Kenmoor Ave SE Ste B1
Grand Rapids, MI 49546-2375
Phone (616) 438-9902

Other practice location 3

4000 Eastern Sky Dr Ste 2A
Traverse City, MI 49684-7351
Phone (704) 664-2876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250130001591 MI Part B Supplier - Clinic/Group Practice 5991165458 Receives reassigned benefits from 34 practitioners
Practice locations: Clinton Township, MI; Grand Rapids, MI; Traverse City, MI

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Illumia Health LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4000 Eastern Sky Dr
Ste 2A
Traverse City, MI 49684
Phone (231) 715-3241

Practitioners & affiliated clinicians

Practitioners 42

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 42

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1881432060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4060",
            "address_2": "ATTN: REGULATORY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174060",
            "telephone_number": "704-664-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39425 GARFIELD RD STE 22A",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384651",
            "telephone_number": "586-649-3181",
            "fax_number": "586-649-3182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3033 Orchard Vista Dr SE Ste 307",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495467077",
            "country_code": "US",
            "telephone_number": "704-664-2876",
            "fax_number": "704-230-0946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "695 Kenmoor Ave SE Ste B1",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495462375",
            "country_code": "US",
            "telephone_number": "616-438-9902",
            "fax_number": "676-438-9903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Eastern Sky Dr Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847351",
            "country_code": "US",
            "telephone_number": "704-664-2876",
            "fax_number": "616-438-9903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IH PHYSICIAN SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VP OF LICENSURE",
        "authorized_official_telephone_number": "704-662-1761"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.