NPIMap

Individual provider Active NPI

Jarrad Utter, M.D.

  • Family Medicine Physician
  • Sparta, MI
National Provider Identifier
1942614185
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301104751 Issued in MI
Practice address
475 S State St
Sparta, MI 49345-1549
Phone
(616) 685-1300
Fax
(616) 887-5989
NPI assigned
Jun 16, 2014
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 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 4301104751 MI Primary

Addresses

Primary practice location

475 S State St
Sparta, MI 49345-1549

Mailing address

1900 44TH St SE
Kentwood, MI 49508-5008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jutter26256@direct.trinity-health.org Direct

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
I20160810000063 MI Practitioner - Family Practice 6608096813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

475 S State St
Sparta, MI 49345-1549
Phone (616) 685-1300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301104751MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Aug 3, 2017 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Advantage Health/Saint Mary's Medical Group Current Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Aug 3, 2016 Accepting new patients
Advantage Health/Saint Mary's Medical Group CurrentSince Aug 3, 2017 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Aug 3, 2016 Accepting new patients
Advantage Health Saint Mary's Medical Group Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

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

1900 44th St SE
Kentwood, MI 49508
Phone (616) 685-8500

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

475 S State St
Sparta, MI 49345
Phone (616) 685-1300

Interoperability endpoints

  • Direct secure messaging: jutter26256@direct.trinity-health.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1942614185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 44TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 S STATE ST",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493451549",
            "telephone_number": "616-685-1300",
            "fax_number": "616-887-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTTER",
        "first_name": "JARRAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301104751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jutter26256@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "MHPP Sparta direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "475 S State St",
            "city": "Sparta",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493451549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sparta, MI

Sources for this page

Verify at the official NPI Registry.