NPIMap

Individual provider Active NPI

Matthew Cesar Slendebroek, M.D.

  • Family Medicine Physician
  • Wyoming, MI
National Provider Identifier
1942445945
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301099747 Issued in MI
Practice address
1000 28TH St SW
Wyoming, MI 49509-2881
Phone
(616) 655-7024
NPI assigned
Dec 5, 2008
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301099747 MI Primary

Addresses

Primary practice location

1000 28TH St SW
Wyoming, MI 49509-2881

Mailing address

PO Box 746723
Atlanta, GA 30374-6723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111020000519 MI Practitioner - Family Practice 6608913470 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians

Practice addresses (Care Compare)

3650 Van Buren St
Hudsonville, MI 49426-1036
Phone (616) 669-1520

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Primary Care Partners CurrentSince May 1, 2017 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jun 10, 2025 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince May 1, 2017 Accepting new patients
Osh-Mi Physicians Group PC Family Medicine CurrentSince Sep 26, 2022 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Sep 26, 2022 Accepting new patients
Optalis Grand Rapids Opco LLC Past Accepting new patients
Laurel Health Care Company of Wayland Past Accepting new patients
Eaton Care Center, LLC Past Accepting new patients
Royalton Manor, LLC Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients
Samaritas Past Accepting new patients
Grand Haven Opco LLC Past Accepting new patients
Trilogy Healthcare of Belmont, LLC Past Accepting new patients
Fremont Healthcare LLC Past Accepting new patients
Laurel Health Care Company of Hudsonville Past Accepting new patients

Locations

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1950 32nd St SE
Grand Rapids, MI 49508
Phone (616) 245-1600

2750 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 267-7015

3650 Van Buren St
Hudsonville, MI 49426
Phone (616) 669-1520

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

1000 28th St SW
Wyoming, MI 49509
Phone (616) 655-7024

Interoperability endpoints

  • Direct secure messaging: matthew.slendebroek.1@20679.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Optalis Health and Rehabilitation of Grand RapidsGrand Rapids, MI, CCN 235458 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 15, 2024
Dec 4, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1942445945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 28TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495092881",
            "telephone_number": "616-655-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLENDEBROEK",
        "first_name": "MATTHEW",
        "middle_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-05",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301099747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.