Active NPI
Mercy Health Partners - Physician Specialist
Doing business as Trinity Health Medical Group
- Internal Medicine Physician
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST
- Doing business as
- Trinity Health Medical Group
- Practice address
- 1675 Leahy St Ste 324B
Muskegon, MI 49442-5500 - Phone
- (231) 672-8700
- NPI assigned
- Mar 5, 2009
- Last updated
- Mar 5, 2026
- Organization subpart
- Yes
- Parent organization
- MERCY HEALTH PARTNERS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Gusho
- Title
- Chief Financial Officer
- Phone
- (734) 398-0642
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Cardiovascular Disease Physician | 207RC0000X | MI | ||
| Gastroenterology Physician | 207RG0100X | NU | ||
| Infectious Disease Physician | 207RI0200X | NU |
Addresses
Primary practice location
1675 Leahy St Ste 324B
Muskegon, MI 49442-5500
Mailing address
PO Box 776982
Chicago, IL 60677-6982
Phone (800) 494-5797
Other practice location 1
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-3027
Other practice location 2
6401 Prairie St Ste 1700
Norton Shores, MI 49444-7843
Phone (231) 672-7944
Other practice location 3
1675 Leahy St Ste 301A
Muskegon, MI 49442-5543
Phone (616) 685-3098
Other practice location 4
1675 Leahy St Ste 301A
Muskegon, MI 49442-5543
Phone (231) 672-8300
Other practice location 5
1675 Leahy St Ste 401A
Muskegon, MI 49442-5547
Phone (231) 672-4243
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500F10015 | Other | MI | BCBS MID-LEVELS |
| 700F10016 | Other | MI | BCBS |
| MI1763 | Other | MI | MEDICARE PTAN |
Other names 1
- Trinity Health Medical Group
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2079605 | Trinity Health Medical Group, McClees Clinic - | Certificate of waiver | Jun 18, 2028 |
| 23D2173919 | Trinity Health Medical Group, Diabetes and | Certificate of waiver | Oct 21, 2027 |
National Provider Directory
National Provider Directory- Part of
- Mercy Hospital Muskegon
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Trinity Health Medical Group
- Rural Health Clinic/Center
- Shelby, MI
- NPI 1700201712
Member Of
-
dba Trinity Health Pharmacy - Reichert Center
- Community/Retail Pharmacy
- Ypsilanti, MI
- NPI 1588736375
Member Of
Locations
6745 Fulton St E
Ste 101
Ada, MI 49301
Phone (616) 685-2150
1150 E Sherman Blvd
Ste 2200
Muskegon, MI 49444
Phone (231) 672-4222
1212 E Sherman Blvd
Ste 2
Muskegon, MI 49444
Phone (231) 739-9427
1500 E Sherman Blvd
Fl 4
Muskegon, MI 49444
Phone (231) 672-2108
Practitioners & affiliated clinicians
Practitioners 202
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.
-
- Neurology Physician
- Muskegon, MI
- NPI 1255992806
-
- Family Nurse Practitioner
- Norton Shores, MI
- NPI 1700663200
-
- Physical Medicine & Rehabilitation Physician
- Muskegon, MI
- NPI 1861056533
-
- Physical Medicine & Rehabilitation Physician
- Muskegon, MI
- NPI 1326494907
-
- Family Medicine Physician
- Muskegon, MI
- NPI 1861874190
-
- Obstetrics & Gynecology Physician
- Muskegon, MI
- NPI 1164862033
-
- Gastroenterology Physician
- Grand Rapids, MI
- NPI 1891106001
Internal Medicine
-
- Nurse Practitioner
- Muskegon, MI
- NPI 1740799451
-
- Obstetrics & Gynecology Physician
- Grand Rapids, MI
- NPI 1396768032
-
- Neurology Physician
- Muskegon, MI
- NPI 1518931245
-
- Physician Assistant
- Okemos, MI
- NPI 1154200541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1922248772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776982",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776982",
"telephone_number": "800-494-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 LEAHY ST STE 324B",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494425500",
"telephone_number": "231-672-8700"
}
],
"practiceLocations": [
{
"address_1": "1500 E Sherman Blvd",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494441849",
"country_code": "US",
"telephone_number": "231-672-3027",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6401 Prairie St Ste 1700",
"address_purpose": "LOCATION",
"city": "Norton Shores",
"state": "MI",
"postal_code": "494447843",
"country_code": "US",
"telephone_number": "231-672-7944",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1675 Leahy St Ste 301A",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494425543",
"country_code": "US",
"telephone_number": "616-685-3098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1675 Leahy St Ste 301A",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494425543",
"country_code": "US",
"telephone_number": "231-672-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1675 Leahy St Ste 401A",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494425547",
"country_code": "US",
"telephone_number": "231-672-4243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MERCY HEALTH PARTNERS",
"enumeration_date": "2009-03-05",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A",
"authorized_official_last_name": "GUSHO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "734-398-0642"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MID-LEVELS",
"identifier": "500F10015",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "700F10016",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "MI1763",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Trinity Health Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muskegon, MI
- Mercy Health Partners (Mercy Health Muskegon)
- Mercy Health Partners (Mercy Health Muskegon)
- Mercy Health Partners (Mercy Health Muskegon)
- Mercy Health Partners (Mercy Health Healthcare Equipment)
- Mercy Health Partners (Mercy Health Muskegon)
- Mercy Health Partners Obstetrics and Gynecology Specialist
- Mercy Health Partners Sub-Specialty Services (Trinity Health Medical Group)
- Mercy Health Partners-Obstetrics and Gynecology Specialist (Trinity Health Medical Group Obstetrics & Gynecology - Hackley)
- Mercy Health Westshore Cardiology Services (Trinity Health Medical Group)
- Mercy Hospital - Muskegon SMHC (MHP - Mercy Campus)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.