Southwest Michigan Center for Orthopaedic and Sports Medicine P
NPI 1104913094 · Specialist · Saint Joseph, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southwest Michigan Center for Orthopaedic and Sports Medicine P is a Specialist organization in Saint Joseph, MI (NPI 1104913094).
Provider details
- NPI number
- 1104913094
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kenneth Edwards, Managing Partner(269) 428-3500
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-10-10
- Last updated
- 2009-04-21
Frequently asked questions
- What is Southwest Michigan Center for Orthopaedic and Sports Medicine P's NPI number?
- Southwest Michigan Center for Orthopaedic and Sports Medicine P's National Provider Identifier (NPI) is 1104913094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southwest Michigan Center for Orthopaedic and Sports Medicine P?
- Southwest Michigan Center for Orthopaedic and Sports Medicine P is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Southwest Michigan Center for Orthopaedic and Sports Medicine P located?
- Southwest Michigan Center for Orthopaedic and Sports Medicine P's practice location on file with NPPES is 183 Peace Blvd, Saint Joseph, MI 49085-9146.
- What is Southwest Michigan Center for Orthopaedic and Sports Medicine P's phone number?
- The practice phone number listed in the NPPES registry for Southwest Michigan Center for Orthopaedic and Sports Medicine P is (269) 428-3500.
- Does Southwest Michigan Center for Orthopaedic and Sports Medicine P accept Medicare?
- Southwest Michigan Center for Orthopaedic and Sports Medicine P 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 Southwest Michigan Center for Orthopaedic and Sports Medicine P?
- The authorized official listed on Southwest Michigan Center for Orthopaedic and Sports Medicine P's NPPES record is Kenneth Edwards, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southwest Michigan Center for Orthopaedic and Sports Medicine P's NPI active?
- Yes — Southwest Michigan Center for Orthopaedic and Sports Medicine P's NPI (1104913094) is active in the NPPES registry as of the last update on 2009-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.