Michigan Urological Clinic
NPI 1376586164 · Urology Physician · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michigan Urological Clinic is a Urology Physician organization in Grand Rapids, MI (NPI 1376586164).
Provider details
- NPI number
- 1376586164
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Maatman, Office Manager(616) 956-9577
- License
- 696 (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
20 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
- 2006-06-13
- Last updated
- 2008-06-09
Frequently asked questions
- What is Michigan Urological Clinic's NPI number?
- Michigan Urological Clinic's National Provider Identifier (NPI) is 1376586164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michigan Urological Clinic?
- Michigan Urological Clinic is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Michigan Urological Clinic located?
- Michigan Urological Clinic's practice location on file with NPPES is 4047 Saladin Dr Se, Grand Rapids, MI 49546-6249.
- What is Michigan Urological Clinic's phone number?
- The practice phone number listed in the NPPES registry for Michigan Urological Clinic is (616) 956-9577.
- Does Michigan Urological Clinic accept Medicare?
- Michigan Urological Clinic 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 Michigan Urological Clinic?
- The authorized official listed on Michigan Urological Clinic's NPPES record is Jill Maatman, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michigan Urological Clinic's NPI active?
- Yes — Michigan Urological Clinic's NPI (1376586164) is active in the NPPES registry as of the last update on 2008-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.