Grand Rapids Ear Nose & Throat Center PLLC
NPI 1124052337 · Otolaryngology Physician · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Rapids Ear Nose & Throat Center PLLC is a Otolaryngology Physician organization in Grand Rapids, MI (NPI 1124052337).
Provider details
- NPI number
- 1124052337
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Kosta, President(616) 575-1212
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
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
Other names (DBA / former)
- Former legal business name
- Ear, Nose and Throat Center, P.C.
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2008-07-21
Frequently asked questions
- What is Grand Rapids Ear Nose & Throat Center PLLC's NPI number?
- Grand Rapids Ear Nose & Throat Center PLLC's National Provider Identifier (NPI) is 1124052337, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Rapids Ear Nose & Throat Center PLLC?
- Grand Rapids Ear Nose & Throat Center PLLC is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Grand Rapids Ear Nose & Throat Center PLLC located?
- Grand Rapids Ear Nose & Throat Center PLLC's practice location on file with NPPES is 655 Kenmoor Ave Se, Grand Rapids, MI 49546-8622.
- What is Grand Rapids Ear Nose & Throat Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Rapids Ear Nose & Throat Center PLLC is (616) 575-1212.
- Does Grand Rapids Ear Nose & Throat Center PLLC accept Medicare?
- Grand Rapids Ear Nose & Throat Center PLLC 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 Grand Rapids Ear Nose & Throat Center PLLC?
- The authorized official listed on Grand Rapids Ear Nose & Throat Center PLLC's NPPES record is John Kosta, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Rapids Ear Nose & Throat Center PLLC's NPI active?
- Yes — Grand Rapids Ear Nose & Throat Center PLLC's NPI (1124052337) is active in the NPPES registry as of the last update on 2008-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.