Organization Active NPI

Mercy Health Partners - Physician Specialist

Doing business as Trinity Health Medical Group

  • Internal Medicine Physician
  • Muskegon, MI
National Provider Identifier
1922248772
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HEALTH PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500F10015OtherMIBCBS MID-LEVELS
700F10016OtherMIBCBS
MI1763OtherMIMEDICARE PTAN

Other names 1

  • Trinity Health Medical Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
O20090616000615 MI Part B Supplier - Clinic/Group Practice 2163572991 Receives reassigned benefits from 196 practitioners
Practice locations: Muskegon, MI; Norton Shores, MI; Grand Haven, MI; Ada, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2079605Trinity Health Medical Group, McClees Clinic -1675 Leahy Street 301 a, Muskegon, MI 49442Certificate of waiverJun 18, 2028
23D2173919Trinity Health Medical Group, Diabetes and1675 Leahy Street Suite 215a, Muskegon, MI 49442Certificate of waiverOct 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.

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.

View all 202

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

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.

Verify at the official NPI Registry.