Source Medical Solutions
NPI 1326649120ActiveOrganization· General Practice· Grand Rapids, MI
General Practice in Grand Rapids, Michigan, registered in NPPES in November 2020. The authorized official on file is Thomas Henke, DO, Owner/Physician.
Overview
| NPI | 1326649120 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 6, 2020 |
| Last updated in NPPES | Jan 23, 2022 |
| Certified by provider | Jan 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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