Grand Traverse Physician Services PC
NPI 1932913217ActiveOrganization· Hospitalist· Traverse City, MI
Hospitalist in Traverse City, Michigan, registered in NPPES in February 2025. The authorized official on file is Kenneth Heinrich, MD, Owner/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1932913217 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 5, 2025 |
| Last updated in NPPES | Mar 19, 2025 |
| Certified by provider | Mar 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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