Individual provider Active NPI

Jaret A Beane, DO

  • Surgery Physician
  • Wyoming, MI
National Provider Identifier
1972537876
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101014347 Issued in MI
Practice address
2093 Health Drive SW
Suite 300
Wyoming, MI 49519
Phone
(616) 532-8100
Fax
(616) 532-8200
NPI assigned
Jul 10, 2006
Last updated
Nov 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101014347 MI Primary

Addresses

Primary practice location

2093 Health Drive SW
Suite 300
Wyoming, MI 49519

Mailing address

2093 Health Drive SW
Suite 300
Wyoming, MI 49519
Phone (616) 532-8100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820001019 MI Practitioner - General Surgery 6901870419 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Michigan Surgical Specialists PLCGroup PAC ID 3870583727, 11 clinicians
Metropolitan HospitalGroup PAC ID 5597651836, 421 clinicians

Practice addresses (Care Compare)

1045 Gezon Pkwy SW
Wyoming, MI 49509-9542
Phone (616) 456-5311

2122 Health Dr SW
Wyoming, MI 49519-9698

5900 Byron Ctr Ave
Wyoming, MI 49519-9606

5900 Byron Ctr Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-3243

5900 Byron Ctr Swave
Wyoming, MI 49519-9606
Phone (616) 252-7200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Aug 1, 2013 Accepting new patients
Advantage Health/Saint Mary's Medical Group Current Accepting new patients
West Michigan Surgical Specialists PLC Surgery CurrentSince Jun 20, 2011 Accepting new patients
Advantage Health/Saint Mary's Medical Group CurrentSince Aug 1, 2013 Accepting new patients
Metropolitan Hospital CurrentSince Sep 1, 2009 Accepting new patients
Trinity Health Grand Haven Hospital CurrentSince Oct 14, 2020 Accepting new patients
Metropolitan Hospital Past Accepting new patients
Saint Mary's Health Services Past Accepting new patients
Grand River Surgery, PLLC Surgery Past Accepting new patients
Michael R. Jarvis, DO PC Surgery Past Accepting new patients
Michigan Medical Patient Care Past 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

4200 Division Ave N
Comstock Park, MI 49321
Phone (616) 252-1600

1309 Sheldon Rd
Grand Haven, MI 49417
Phone (616) 842-3600

245 State St SE
Ste 1A
Grand Rapids, MI 49503

310 Lafayette Ave SE
Ste 301
Grand Rapids, MI 49503
Phone (616) 685-6900

1045 Gezon Pkwy SW
Wyoming, MI 49509
Phone (616) 456-5311

2122 Health Dr SW
Wyoming, MI 49519
Phone (616) 252-5950

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

Interoperability endpoints

  • Direct secure messaging: jbeane44532@direct.trinity-health.org

Organizations & group practices 12

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 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1972537876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 HEALTH DRIVE SW",
            "address_2": "SUITE 300",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49519",
            "telephone_number": "616-532-8100",
            "fax_number": "616-532-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 HEALTH DRIVE SW",
            "address_2": "SUITE 300",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49519",
            "telephone_number": "616-532-8100",
            "fax_number": "616-532-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEANE",
        "first_name": "JARET",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101014347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.