Organization provider

SAINT MARY'S HEALTH SERVICES

Geriatric Medicine (Internal Medicine) Physician Hospice and Palliative Medicine (Internal Medicine) Physician Internal Medicine Physician Medicare enrolled

SAINT MARY'S HEALTH SERVICES is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1063917425, based in Grand Rapids, MI. The organization lists 8 taxonomy classifications, with Geriatric Medicine (Internal Medicine) Physician recorded as primary.

Getting there

The practice address on file is 200 JEFFERSON AVE SE, Grand Rapids, MI 49503. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

200 JEFFERSON AVE SE, Grand Rapids, MI 49503 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
4981500436
Enrollment ID
O20180511000758

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Geriatric Medicine covers

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. NUCC Health Care Provider Taxonomy, code 207RG0300X
Allopathic & Osteopathic Physicians Internal Medicine Geriatric Medicine

All registered taxonomy codes

This provider registers 8 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RG0300X Geriatric Medicine (Internal Medicine) Physician Geriatric Medicine primary
207RH0002X Hospice and Palliative Medicine (Internal Medicine) Physician Hospice and Palliative Medicine
207R00000X Internal Medicine Physician
363A00000X Physician Assistant
207QG0300X Geriatric Medicine (Family Medicine) Physician Geriatric Medicine
207QH0002X Hospice and Palliative Medicine (Family Medicine) Physician Hospice and Palliative Medicine
363L00000X Nurse Practitioner
207Q00000X Family Medicine Physician

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1063917425 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMar 28, 2018
Last updatedMay 5, 2026
StatusActive
Practice address 200 JEFFERSON AVE SE
Grand Rapids, MI 49503
(616) 776-0682
Fax (616) 685-1846
Mailing address 1900 44TH ST SE
Kentwood, MI 49508
This record was updated on May 5, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1063917425 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 9 1 7 4 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 9 1 5 4 4

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063917425?
NPI 1063917425 is the National Provider Identifier assigned to SAINT MARY'S HEALTH SERVICES in Grand Rapids, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Geriatric Medicine cover?
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
How do I contact SAINT MARY'S HEALTH SERVICES?
The phone number on file with NPPES is (616) 776-0682, last updated May 5, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SAINT MARY'S HEALTH SERVICES accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063917425 a valid number?
Yes. 1063917425 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.