Individual provider Active NPI

Jessica Lynn Konal, MD

  • Obstetrics & Gynecology Physician
  • Kalamazoo, MI
National Provider Identifier
1992296495
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301507577 Issued in MI
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

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.Group PAC ID 2466543640, 74 clinicians
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

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 Hospital, Kalamazoo, MI, CCN 230017

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
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

LicenseStateTypeSpecialty
4351042695MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Lakeview Hospital CurrentSince Aug 28, 2022 Accepting new patients
Bronson Lakeview Hospital CurrentSince Aug 28, 2022 Accepting new patients
Bronson Methodist Hospital Obstetrics & Gynecology CurrentSince Aug 28, 2022 Accepting new patients
Together Women'S Health Medical Group, P.C. Obstetrics & Gynecology CurrentSince Mar 1, 2026 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 secure messaging: 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.

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

Verify at the official NPI Registry.