Organization Active NPI

Advantage Health Saint Mary's Medical Group

Doing business as Trinity Health Medical Group

  • Multi-Specialty Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1952340911
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP
Doing business as
Trinity Health Medical Group
Practice address
200 Jefferson SE
Grand Rapids, MI 49503
Phone
(616) 685-5000
NPI assigned
Jun 5, 2006
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
No

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
Daniel Green
Title
Vice President Finance Grand Rapids
Phone
(616) 685-6709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

200 Jefferson SE
Grand Rapids, MI 49503

Mailing address

PO Box 776974
Chicago, IL 60677-6974
Phone (800) 494-5797

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
O20101023000279 MI Part B Supplier - Clinic/Group Practice 4082807961 Receives reassigned benefits from 897 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Grand Rapids, MI; Grandville, MI; Hudsonville, MI; Jenison, MI; Kentwood, MI; Rockford, MI; Sparta, MI; Walker, MI…

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 42)

6471 Fulton St E Ste 201
Ada, MI 49301

2373 64th St SW
Ste 1304
Byron Center, MI 49315
Phone (616) 685-3450

2373 64th St SW
Ste 2700
Byron Center, MI 49315
Phone (616) 465-5910

2374 64TH St SW Ste 27
Byron Center, MI 49315

1430 Monroe Ave NW
Grand Rapids, MI 49505
Phone (616) 685-8800

200 Jefferson Ave SE
#9
Grand Rapids, MI 49503

200 Jefferson Ave SE
Fl 9
Grand Rapids, MI 49503
Phone (616) 685-6501

200 Jefferson Ave SE
Fl Icu
Grand Rapids, MI 49503

200 Jefferson Ave SE
Ste 626
Grand Rapids, MI 49503
Phone (616) 685-5039

2144 East Paris Ave SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 685-2100

2155 East Paris Ave SE
Grand Rapids, MI 49546
Phone (616) 581-2755

220 Cherry St SE
#2
Grand Rapids, MI 49503
Phone (616) 685-5576

220 Cherry St SE
Fl 1
Grand Rapids, MI 49503

220 Cherry St SE
Fl 2
Grand Rapids, MI 49503
Phone (616) 685-5576

220 Cherry St SE
Ste 1
Grand Rapids, MI 49503

220 Cherry St SE
Ste 220
Grand Rapids, MI 49503

220 Cherry St SE
Ste 221
Grand Rapids, MI 49503

245 Cherry St SE
Ste 104
Grand Rapids, MI 49503
Phone (616) 774-6337

245 Cherry St SE
Ste 1200
Grand Rapids, MI 49503

245 Cherry St SE
Ste 201
Grand Rapids, MI 49503

245 Cherry St SE
Ste 204
Grand Rapids, MI 49503
Phone (616) 685-3330

245 Cherry St SE
Ste 300
Grand Rapids, MI 49503
Phone (616) 285-1377

245 State St SE
Ste 211
Grand Rapids, MI 49503
Phone (616) 913-1800

250 Cherry St SE
#2
Grand Rapids, MI 49503

250 Cherry St SE
Fl 1
Grand Rapids, MI 49503

Practitioners & affiliated clinicians

Practitioners 708

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 708

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1952340911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776974",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776974",
            "telephone_number": "800-494-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JEFFERSON SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-685-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE GRAND RAPIDS",
        "authorized_official_telephone_number": "616-685-6709"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Grand Rapids, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.