Gastroenterology Specialist PC
NPI 1003099904 · Gastroenterology Physician · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gastroenterology Specialist PC is a Gastroenterology Physician organization in Grand Rapids, MI (NPI 1003099904).
Provider details
- NPI number
- 1003099904
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diane Atkinson, Manager(616) 975-9100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-13
- Last updated
- 2007-12-13
Frequently asked questions
- What is Gastroenterology Specialist PC's NPI number?
- Gastroenterology Specialist PC's National Provider Identifier (NPI) is 1003099904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gastroenterology Specialist PC?
- Gastroenterology Specialist PC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Gastroenterology Specialist PC located?
- Gastroenterology Specialist PC's practice location on file with NPPES is 1179 E Paris Ave Se Ste 200, Grand Rapids, MI 49546-3682.
- What is Gastroenterology Specialist PC's phone number?
- The practice phone number listed in the NPPES registry for Gastroenterology Specialist PC is (616) 975-9100.
- Does Gastroenterology Specialist PC accept Medicare?
- Gastroenterology Specialist PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gastroenterology Specialist PC?
- The authorized official listed on Gastroenterology Specialist PC's NPPES record is Diane Atkinson, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gastroenterology Specialist PC's NPI active?
- Yes — Gastroenterology Specialist PC's NPI (1003099904) is active in the NPPES registry as of the last update on 2007-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.