Individual provider Active NPI

Patrick Joseph Droste, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Grand Rapids, MI
National Provider Identifier
1972552628
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
4301047600 Issued in MI
Practice address
5050 Cascade Rd SE
Grand Rapids, MI 49546-3725
Phone
(616) 957-0866
Fax
(616) 956-0281
NPI assigned
May 9, 2006
Last updated
Apr 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 047600 MI
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 4301047600 MI Primary

Addresses

Primary practice location

5050 Cascade Rd SE
Grand Rapids, MI 49546-3725

Mailing address

5050 Cascade Rd SE
Grand Rapids, MI 49546-3725
Phone (616) 957-0866

Other identifiers 10

IdentifierTypeStateIssuer
180040367OtherMIRETIRED RAILROAD
700000215OtherMIPRIORITY HEALTH MEDICARE
700000215OtherMIPRIORITY HEALTH MEDICAID
1804102032OtherMIBLUE CARE NETWORK
2636622MedicaidMI
1804102032OtherMIBLUE CROSS BLUE SHIELD
700000215OtherMIPRIORITY HEALTH HMO
M015190OtherMICHAMPUS
1804102032OtherMIBLUE CHOICE
2636622OtherMICHILDREN SPECIAL HEALTH

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
I20040512001194 MI Practitioner - OphthalmologyPractitioner - Other (Physician) 6507856630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Pediatric Ophthalmology PCGroup PAC ID 3678730645, 2 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

5050 Cascade Rd SE
Grand Rapids, MI 49546-3707
Phone (616) 957-0866

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047600MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Ophthalmology PC Single Specialty CurrentSince Feb 2, 2012 Accepting new patients
Spectrum Health Primary Care Partners Single Specialty CurrentSince Nov 1, 2023 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Nov 1, 2023 Accepting new patients
Metropolitan Hospital Single Specialty Past Accepting new patients
Metropolitan Enterprises Inc. Single Specialty Past Accepting new patients

Locations

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

330 Barclay Ave NE
Ste 104
Grand Rapids, MI 49503
Phone (616) 267-9823

5050 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 957-0866

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

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

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1672
  • Direct secure messaging: pdroste1864@epic00.corewelldirect.org
  • Direct secure messaging: pdroste614@direct.metrohealth.net
  • Direct secure messaging: pdrostemd@grpedoph.gwaydirect.com

Organizations & group practices 5

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1972552628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463725",
            "telephone_number": "616-957-0866",
            "fax_number": "616-956-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463725",
            "telephone_number": "616-957-0866",
            "fax_number": "616-956-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROSTE",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "047600",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "MI",
            "license": "4301047600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RAILROAD",
            "identifier": "180040367",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH MEDICARE",
            "identifier": "700000215",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH MEDICAID",
            "identifier": "700000215",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "1804102032",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2636622",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1804102032",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH  HMO",
            "identifier": "700000215",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "M015190",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "1804102032",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN SPECIAL HEALTH",
            "identifier": "2636622",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.