Individual provider Active NPI

Renee J Elderkin, M.D.

  • Obstetrics & Gynecology Physician
  • Wyoming, MI
National Provider Identifier
1982694667
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301064456 Issued in MI
Practice address
2221 Health Dr SW Ste 2100
Wyoming, MI 49519-9650
Phone
(616) 252-4410
Fax
(616) 252-4480
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X RE064456 MI
Obstetrics & Gynecology Physician 207V00000X 4301064456 MI Primary

Addresses

Primary practice location

2221 Health Dr SW Ste 2100
Wyoming, MI 49519-9650

Mailing address

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

Other practice location 1

221 Michigan St NE
Suite 600
Grand Rapids, MI 49503-2543
Phone (616) 774-7035

Other practice location 2

221 Michigan St NE
Suite 600
Grand Rapids, MI 49503-2543
Phone (616) 774-7035

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
I20120509000683 MI Practitioner - Obstetrics/Gynecology 5698738367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan HospitalGroup PAC ID 5597651836, 421 clinicians

Practice addresses (Care Compare)

781 36TH St SE
Metro HLTH Comm Clinic
Wyoming, MI 49548-2319
Phone (616) 252-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RE064456MIMDSpecialist
4301064456MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Hospital CurrentSince Nov 1, 2017 Accepting new patients
Metropolitan Hospital Obstetrics & Gynecology CurrentSince Nov 1, 2017 Accepting new patients
Metropolitan Hospital Past Accepting new patients

Locations

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

781 36th St SE
Wyoming, MI 49548
Phone (616) 252-4100

2221 Health Dr SW
Ste 2100
Wyoming, MI 49519
Phone (616) 252-4410

Interoperability endpoints

  • Direct secure messaging: relderkin72612@direct.metrohealth.net

Organizations & group practices 3

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 1

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982694667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BYRON CENTER AVE SW",
            "address_2": "MEDICAL ADMINISTRATION",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199606",
            "telephone_number": "616-252-3243",
            "fax_number": "616-252-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 HEALTH DR SW STE 2100",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199650",
            "telephone_number": "616-252-4410",
            "fax_number": "616-252-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Michigan St NE",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032543",
            "country_code": "US",
            "telephone_number": "616-774-7035",
            "fax_number": "616-774-4057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Michigan St NE",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032543",
            "country_code": "US",
            "telephone_number": "616-774-7035",
            "fax_number": "616-774-4057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDERKIN",
        "first_name": "RENEE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "RE064456",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301064456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.