NPIMap

Individual provider Active NPI

Michael Adam Kremer, MD., PLC

  • Neurological Surgery Physician
  • Holland, MI
National Provider Identifier
1982646949
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2004034547 Issued in MO
Practice address
3299 N Wellness Dr
BLDG C, Suite 240
Holland, MI 49424-7269
Phone
(616) 738-4420
Fax
(616) 738-4432
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2004034547 MO Primary

Addresses

Primary practice location

3299 N Wellness Dr
BLDG C, Suite 240
Holland, MI 49424-7269

Mailing address

3299 N Wellness Dr
BLDG C, Suite 240
Holland, MI 49424-7269
Phone (616) 738-4420

Other identifiers 3

IdentifierTypeStateIssuer
MK091606OtherMISTATE LICENSE NUMBER
1307011752OtherMIBCBSM/BCN
ST003962OtherMISTATE LICENSE #

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
I20080725000450 MI Practitioner - Neurosurgery 4981599016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Vanderbilt University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jagannathan Neurosurgical Institute PLLCGroup PAC ID 9638317373, 11 clinicians

Practice addresses (Care Compare)

2333 Progress St
West Branch, MI 48661-9384
Phone (989) 343-3178

Hospital & facility affiliations

  • McLaren Home Health Home health agency, Bay City, MI, CCN 237165
  • McLaren Bay Region Hospital, Bay City, MI, CCN 230041
  • McLaren Central Michigan Hospital, Mount Pleasant, MI, CCN 230080
  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • McLaren Thumb Region Hospital, Bad Axe, MI, CCN 231340

Merit-based Incentive Payment System (MIPS)

Final score
41.31 of 100Reported as group
Quality
42.97
Improvement activities
0
Cost
72.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion484
Laminectomy or laminotomy (partial removal of spine bones)120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004034547MOMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jagannathan Neurosurgical Institute PLLC Neurological Surgery CurrentSince Apr 15, 2020 Accepting new patients
Jagannathan Neurosurgical Institute PLLC Neurological Surgery CurrentSince Apr 15, 2020 Accepting new patients
David W Lowry MD PC Neurological Surgery Past Accepting new patients
Sjmgroup Past Accepting new patients

Locations

4 Columbus Ave
Ste 140
Bay City, MI 48708
Phone (989) 377-4550

4 Columbus Ave
Ste 260
Bay City, MI 48708
Phone (989) 308-1840

3290 W Big Beaver Rd
Ste 150
Troy, MI 48084
Phone (248) 792-6527

2333 Progress St
West Branch, MI 48661
Phone (989) 343-3178

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1982646949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3299 N WELLNESS DR",
            "address_2": "BLDG C, SUITE 240",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247269",
            "telephone_number": "616-738-4420",
            "fax_number": "616-738-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 N WELLNESS DR",
            "address_2": "BLDG C, SUITE 240",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247269",
            "telephone_number": "616-738-4420",
            "fax_number": "616-738-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMER",
        "first_name": "MICHAEL",
        "middle_name": "ADAM",
        "credential": "MD., PLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2004034547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MK091606",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM/BCN",
            "identifier": "1307011752",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "ST003962",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.