Grand Rapids Addiction Medicine Specialists PC
NPI 1780642355 · Internal Medicine Physician · Grand Rapids, MI
Grand Rapids Addiction Medicine Specialists PC is a Internal Medicine Physician organization in Grand Rapids, MI (NPI 1780642355).
Provider details
- NPI number
- 1780642355
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Khan Nedd, President(616) 954-0600
- License
- 4301047295 (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
- 2006-05-03
- Last updated
- 2007-07-31
Frequently asked questions
- What is Grand Rapids Addiction Medicine Specialists PC's NPI number?
- Grand Rapids Addiction Medicine Specialists PC's National Provider Identifier (NPI) is 1780642355, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Rapids Addiction Medicine Specialists PC?
- Grand Rapids Addiction Medicine Specialists PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Grand Rapids Addiction Medicine Specialists PC located?
- Grand Rapids Addiction Medicine Specialists PC's practice location on file with NPPES is 4100 Lake Dr Se, Grand Rapids, MI 49546-8292.
- What is Grand Rapids Addiction Medicine Specialists PC's phone number?
- The practice phone number listed in the NPPES registry for Grand Rapids Addiction Medicine Specialists PC is (616) 954-0600.
- Who is the authorized official for Grand Rapids Addiction Medicine Specialists PC?
- The authorized official listed on Grand Rapids Addiction Medicine Specialists PC's NPPES record is Khan Nedd, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Rapids Addiction Medicine Specialists PC's NPI active?
- Yes — Grand Rapids Addiction Medicine Specialists PC's NPI (1780642355) is active in the NPPES registry as of the last update on 2007-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.