Active NPI
Jessica Lynn Konal, MD
- Obstetrics & Gynecology Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301507577
- Practice address
- 2854 S 11TH St
Kalamazoo, MI 49009-2129 - Phone
- (269) 345-6197
- NPI assigned
- May 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351042695 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | 4301507577 | MI | Primary |
Addresses
Primary practice location
2854 S 11TH St
Kalamazoo, MI 49009-2129
Mailing address
2854 S 11TH St
Kalamazoo, MI 49009-2129
Phone (269) 345-6197
Other practice location 1
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-4472
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct | Bronson HealthCare Group |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220815000963 | MI | Practitioner - Obstetrics/Gynecology | 4688939044 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Michigan State University College of Human Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Together Women'S Health Medical Group, P.C.Bronson Methodist Hospital
Practice addresses (Care Compare)
29751 Little Mack Ave
Roseville, MI 48066-6504
Phone (586) 415-6200
326 N Main St
Royal Oak, MI 48067-4121
Phone (248) 584-7600
3300 W Centre Ave
Bronson OB GYN Associates
Portage, MI 49024-4666
Phone (269) 327-2211
336 N Main St
Royal Oak, MI 48067-4121
Phone (248) 572-3316
390 Park St
Suite 109
Birmingham, MI 48009-3400
Phone (248) 647-5660
Hospital & facility affiliations
- Bronson Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.43 of 100
- Quality
- 75.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351042695 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Lakeview Hospital | Current | Accepting new patients | |
| Bronson Lakeview Hospital | Current | Accepting new patients | |
| Bronson Methodist Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Together Women'S Health Medical Group, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Bronson Lakeview Hospital | Current | Accepting new patients | |
| Bronson Methodist Hospital | Past | Accepting new patients |
Locations
390 Park St
Ste 109
Birmingham, MI 48009
Phone (248) 647-5660
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
2854 S 11th St
Kalamazoo, MI 49009
Phone (269) 345-6197
601 John St
#39
Kalamazoo, MI 49007
451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725
408 Hazen St
Paw Paw, MI 49079
Phone (269) 341-8481
3300 W Centre Ave
Portage, MI 49024
Phone (269) 324-8950
326 N Main St
Royal Oak, MI 48067
Phone (248) 584-7600
Interoperability endpoints
- direct@direct.bronsonhg.org
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.
-
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
MI, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Roseville, MI
- NPI 1750415915
MI, Obstetrics & Gynecology
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
- Physician Assistant
- Kalamazoo, MI
- NPI 1013089820
-
- Rural Health Clinic/Center
- South Haven, MI
- NPI 1801538871
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": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1992296495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2854 S 11TH ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490092129",
"telephone_number": "269-345-6197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2854 S 11TH ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490092129",
"telephone_number": "269-345-6197"
}
],
"practiceLocations": [
{
"address_1": "1000 Oakland Dr",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490081282",
"country_code": "US",
"telephone_number": "269-337-4472",
"fax_number": "269-337-4234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONAL",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-21",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4351042695",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301507577",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson HealthCare Group Direct Address",
"affiliationName": "Bronson HealthCare Group",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity Care Document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.