Saint Mary'S Health Services
NPI 1063917425 · Geriatric Medicine (Internal Medicine) Physician · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Saint Mary'S Health Services is a Geriatric Medicine (Internal Medicine) Physician organization in Grand Rapids, MI (NPI 1063917425).
Provider details
- NPI number
- 1063917425
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ariana Raymond, Manager Provider Enrollment(734) 343-1466
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2018-03-28
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Frequently asked questions
- What is Saint Mary'S Health Services's NPI number?
- Saint Mary'S Health Services's National Provider Identifier (NPI) is 1063917425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Saint Mary'S Health Services?
- Saint Mary'S Health Services is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Saint Mary'S Health Services located?
- Saint Mary'S Health Services's practice location on file with NPPES is 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502.
- What is Saint Mary'S Health Services's phone number?
- The practice phone number listed in the NPPES registry for Saint Mary'S Health Services is (616) 776-0682.
- Does Saint Mary'S Health Services accept Medicare?
- Saint Mary'S Health Services 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 Saint Mary'S Health Services?
- The authorized official listed on Saint Mary'S Health Services's NPPES record is Ariana Raymond, Manager Provider Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Saint Mary'S Health Services's NPI active?
- Yes — Saint Mary'S Health Services's NPI (1063917425) is active in the NPPES registry as of the last update on 2026-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.