OrganizationActive
Creekside Internal Medicine
NPI 1235284076 · Internal Medicine Physician · Grand Rapids, MI
Provider details
- NPI number
- 1235284076
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Khan Khan, President(616) 954-0600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
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
358 68th St Sw
Grand Rapids, MI 49548-7179
Phone: (616) 281-0463
Fax: (616) 281-0576
Street-level locationGet directions
Mailing address
358 68th St Sw
Grand Rapids, MI 49548-7179
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.