12th Street PLLC
NPI 1790470409 · Internal Medicine Physician · Wayland, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
12th Street PLLC is a Internal Medicine Physician organization in Wayland, MI (NPI 1790470409).
Provider details
- NPI number
- 1790470409
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joel Veldhouse, Physician Owner(616) 648-4933
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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)
- Doing business as
- 12th Street Internal Medicine and Pediatrics
- Doing business as
- 12th Street Internal Medicine and Pediatrics
Registry dates
- Enumerated
- 2023-04-07
- Last updated
- 2023-08-15
- Certified
- 2023-08-15
Frequently asked questions
- What is 12th Street PLLC's NPI number?
- 12th Street PLLC's National Provider Identifier (NPI) is 1790470409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 12th Street PLLC?
- 12th Street PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is 12th Street PLLC located?
- 12th Street PLLC's practice location on file with NPPES is 3587 12th St, Wayland, MI 49348-9569.
- What is 12th Street PLLC's phone number?
- The practice phone number listed in the NPPES registry for 12th Street PLLC is (616) 648-4933.
- Does 12th Street PLLC accept Medicare?
- 12th Street 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 12th Street PLLC?
- The authorized official listed on 12th Street PLLC's NPPES record is Joel Veldhouse, Physician Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 12th Street PLLC's NPI active?
- Yes — 12th Street PLLC's NPI (1790470409) is active in the NPPES registry as of the last update on 2023-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.