Individual provider Active NPI

Alexis Anne Mayhew, MD

  • Obstetrics & Gynecology Physician
  • Kalamazoo, MI
National Provider Identifier
1891133138
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301509741 Issued in MI
Practice address
601 John St Ste N1200
Kalamazoo, MI 49007-5318
Phone
(269) 341-7979
NPI assigned
Jun 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 149378 CA
Obstetrics & Gynecology Physician 207V00000X 0116026027 VA
Obstetrics & Gynecology Physician 207V00000X 01084464A IN
Obstetrics & Gynecology Physician 207V00000X 4301509741 MI Primary

Addresses

Primary practice location

601 John St Ste N1200
Kalamazoo, MI 49007-5318

Mailing address

601 John St # 42
Kalamazoo, MI 49007-5341
Phone (269) 341-8855

Other practice location 1

550 W Cypress Ave
Reedley, CA 93654-2096
Phone (559) 391-3115

Other practice location 2

10510 Jefferson Ave Ste D
Brentwood OB/GYN
Newport News, VA 23601-3102
Phone (757) 594-4737

Other practice location 3

1130 Medical Arts Blvd Ste 250
Anderson, IN 46011-3431
Phone (765) 298-4285

Other identifiers 1

IdentifierTypeStateIssuer
300047140MedicaidIN

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 IN, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210226000681 IN Practitioner - Obstetrics/Gynecology 6901122555 Reassigns benefits to 1 organization
I20230724001470 MI Practitioner - Obstetrics/Gynecology 6901122555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loma Linda University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

601 John St
N1200
Kalamazoo, MI 49007-5318
Phone (269) 341-7979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
149378CAMDObstetrics & Gynecology Physician
4301509741MIMDObstetrics & Gynecology Physician
0116026027VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Apr 19, 2021 Accepting new patients
Community Physicians of Indiana Inc Obstetrics & Gynecology CurrentSince Apr 19, 2021 Accepting new patients
Bronson Methodist Hospital Obstetrics & Gynecology CurrentSince Aug 13, 2023 Accepting new patients
Bronson Methodist Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1130 Medical Arts Blvd
Ste 250
Anderson, IN 46011
Phone (765) 298-4282

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste N1200
Kalamazoo, MI 49007
Phone (269) 341-7887

601 John St
#42
Kalamazoo, MI 49007
Phone (269) 341-7806

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1370736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1891133138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST # 42",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST STE N1200",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075318",
            "telephone_number": "269-341-7979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 W Cypress Ave",
            "address_purpose": "LOCATION",
            "city": "Reedley",
            "state": "CA",
            "postal_code": "936542096",
            "country_code": "US",
            "telephone_number": "559-391-3115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10510 Jefferson Ave Ste D",
            "address_2": "Brentwood OB/GYN",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236013102",
            "country_code": "US",
            "telephone_number": "757-594-4737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 Medical Arts Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460113431",
            "country_code": "US",
            "telephone_number": "765-298-4285",
            "fax_number": "765-298-4989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYHEW",
        "first_name": "ALEXIS",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-09",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "149378",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0116026027",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01084464A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301509741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300047140",
            "state": "IN"
        }
    ],
    "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": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.