Internal Medicine and Pediatrics of West Michigan
NPI 1104170661 · 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)
Internal Medicine and Pediatrics of West Michigan is a Internal Medicine Physician organization in Grand Rapids, MI (NPI 1104170661).
Provider details
- NPI number
- 1104170661
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Deanna Rawlings, Office Manager(616) 323-3227
- License
- 4301071009 (MI)
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
13 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
- 2012-11-06
- Last updated
- 2024-04-15
Frequently asked questions
- What is Internal Medicine and Pediatrics of West Michigan's NPI number?
- Internal Medicine and Pediatrics of West Michigan's National Provider Identifier (NPI) is 1104170661, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Internal Medicine and Pediatrics of West Michigan?
- Internal Medicine and Pediatrics of West Michigan is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Internal Medicine and Pediatrics of West Michigan located?
- Internal Medicine and Pediatrics of West Michigan's practice location on file with NPPES is 655 Kenmoor Ave Se, Grand Rapids, MI 49546.
- What is Internal Medicine and Pediatrics of West Michigan's phone number?
- The practice phone number listed in the NPPES registry for Internal Medicine and Pediatrics of West Michigan is (616) 363-7690.
- Does Internal Medicine and Pediatrics of West Michigan accept Medicare?
- Internal Medicine and Pediatrics of West Michigan 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 Internal Medicine and Pediatrics of West Michigan?
- The authorized official listed on Internal Medicine and Pediatrics of West Michigan's NPPES record is Deanna Rawlings, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Internal Medicine and Pediatrics of West Michigan's NPI active?
- Yes — Internal Medicine and Pediatrics of West Michigan's NPI (1104170661) is active in the NPPES registry as of the last update on 2024-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.