Active NPI
Erin Marie Kevern, D.O.
- Otolaryngology Physician
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 5101020418
- Practice address
- 810 Park PL
Mishawaka, IN 46545-3520 - Phone
- (574) 366-0240
- NPI assigned
- Jun 20, 2013
- Last updated
- Feb 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 02005351A | IN | |
| Otolaryngology Physician | 207Y00000X | 5101020418 | MI | Primary |
Addresses
Primary practice location
810 Park PL
Mishawaka, IN 46545-3520
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Phone (574) 647-1610
Other practice location 1
1425 Michigan St NE
Grand Rapids, MI 49503-2027
Phone (616) 459-4514
Other practice location 2
100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone (616) 391-9000
Other practice location 3
6913 N Main St Ste 200
Granger, IN 46530-8039
Phone (574) 647-4540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300014225 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Michigan State University College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115
1425 Michigan St NE
Suite a
Grand Rapids, MI 49503-2027
Phone (616) 459-4514
1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
810 Park PL
Mishawaka, IN 46545-3520
Phone (574) 366-0240
Hospital & facility affiliations
- Spectrum Health
- Mercy Health Saint Mary's
- Spectrum Health United Hospital
- Mary Free Bed Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101020418 | MI | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Exhale Sinus Indiana Clinics LLC | Otolaryngology | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Michigan Ear, Nose, Throat, and Allergy Specialists, PC | Current | Accepting new patients |
Locations
810 Park Pl
Mishawaka, IN 46545
Phone (574) 336-0240
11160 Wj Presley Pkwy
Allendale, MI 49401
Phone (616) 252-3900
11160 Wj Presley Pkwy
Ste 102
Allendale, MI 49401
Phone (616) 384-2810
705 Oak St
Big Rapids, MI 49307
Phone (231) 592-4356
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
1425 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 233-0933
1425 Michigan St NE
Ste A
Grand Rapids, MI 49503
Phone (616) 233-0933
1005 W Green St
Ste 101
Hastings, MI 49058
Phone (616) 797-8569
3100 N Wellness Dr
Holland, MI 49424
Phone (616) 396-1433
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
1555 44th St SW
Wyoming, MI 49509
Phone (616) 249-8000
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Mishawaka, IN
- NPI 1386535243
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Holland, MI
- NPI 1780029991
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
dba Grand Rapids Ear Nose and Throat PC
- Otolaryngology Physician
- Wyoming, MI
- NPI 1063639870
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Grand Rapids, MI
- NPI 1730133463
Inpatient rehabilitation facility
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
-
dba Corewell Health Greenville Hospital
- General Acute Care Hospital
- Greenville, MI
- NPI 1457304495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1902245194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N NILES AVE",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466171924",
"telephone_number": "574-647-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 PARK PL",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453520",
"telephone_number": "574-366-0240"
}
],
"practiceLocations": [
{
"address_1": "1425 Michigan St NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495032027",
"country_code": "US",
"telephone_number": "616-459-4514",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Michigan St NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495032560",
"country_code": "US",
"telephone_number": "616-391-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6913 N Main St Ste 200",
"address_purpose": "LOCATION",
"city": "Granger",
"state": "IN",
"postal_code": "465308039",
"country_code": "US",
"telephone_number": "574-647-4540",
"fax_number": "574-647-2567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEVERN",
"first_name": "ERIN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "02005351A",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MI",
"license": "5101020418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300014225",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.