CARLI DENHOLM DONNELLY (M.D.) – Internal Medicine Physician, NPI 1013371202

CARLI DENHOLM DONNELLY (M.D.) is a healthcare provider. based in Zeeland, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301117151 (MI). The NPI Number for CARLI DENHOLM DONNELLY (M.D.) is 1013371202

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CARLI DENHOLM DONNELLY (M.D.)
NPI
1013371202
Phone
(616) 748-5788
Address
8300 WESTPARK WAY
Enumeration Date
13 April 2016
Last Update Date
11 October 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6167545507
Graduation Year
2016 (10 years ago)
PAC ID
5799075495
Group Practice PAC ID
7113836701
Professional Enrollment ID
I20190731003688
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for CARLI DENHOLM DONNELLY (M.D.)

  • 8300 WESTPARK WAY

    ZEELAND, MI 494647901

    Phone: (616) 748-5788

    Type: Mailing

  • 2, Saint Antoine Street, Renaissance Center, Detroit, Wayne County, Michigan, 48226, United States

    DETROIT, MI 482012153

    Phone:

    Type: Mailing

  • 545, North State Street, Stanton, Day Township, Montcalm County, Michigan, 48888, United States

    STANTON, MI 488889331

    Phone: (989) 831-8301

    Fax: (989) 831-4306

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190731003688IInternal MedicineMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12359$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4040$0
99213Established patient office or other outpatient visit, 20-29 minutes3023$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
99215Established patient office or other outpatient visit, 40-54 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 49464)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113836701View full group profile
NameSpecialtyState
-MI
Physician AssistantMI
Hospitalist, Internal MedicineMI
-MI
Physician AssistantMI
Emergency MedicineIL
G A S T R O E N T E R O L O G YMI
Clinical Social WorkerMI
Physician AssistantMI
Family Practice, Osteopathic Manipulative MedicineMI

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Frequently asked questions

What is the standard ID for CARLI DENHOLM DONNELLY (M.D.) in the U.S.?
In the U.S., CARLI DENHOLM DONNELLY (M.D.) is identified by NPI 1013371202.
Should I treat CARLI DENHOLM DONNELLY (M.D.) as an active provider?
Patients and plans typically see CARLI DENHOLM DONNELLY (M.D.) as active in the national extract.
How should patients interpret CARLI DENHOLM DONNELLY (M.D.)'s specialty?
The extract shows Internal Medicine Physician for CARLI DENHOLM DONNELLY (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit CARLI DENHOLM DONNELLY (M.D.) in Zeeland, Michigan?
For routing, start with Zeeland, Michigan for CARLI DENHOLM DONNELLY (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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