Spectrum Health Primary Care Partners
NPI 1669782132ActiveOrganization· Internal Medicine, Geriatric Medicine· Grand Rapids, MI
Internal Medicine, Geriatric Medicine in Grand Rapids, Michigan, registered in NPPES in October 2010, part of Spectrum Health Primary Care Partners. The authorized official on file is Pauline Krywanski, Cfo.
Overview
| NPI | 1669782132 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Spectrum Health Primary Care Partners |
| NPI issued | Oct 18, 2010 |
| Last updated in NPPES | Oct 31, 2023 |
| Certified by provider | Oct 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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