Beacon Kalamazoo Inc
NPI 1265517783ActiveOrganization· Dietitian, Registered· Kalamazoo, MI
Dietitian, Registered in Kalamazoo, Michigan, registered in NPPES in October 2006. The authorized official on file is Irene Maffetone, Contract Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265517783 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2006 |
| Last updated in NPPES | Oct 13, 2026 |
| Certified by provider | Oct 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | MI |
| Internal Medicine | 207R00000X | — | — |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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