SALLY J VANSWEDEN (MD) – Internal Medicine Physician, NPI 1053394551

SALLY J VANSWEDEN (MD) is a healthcare provider. based in Kalamazoo, Michigan. specializing in PEDIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301069810 (MI). The NPI Number for SALLY J VANSWEDEN (MD) is 1053394551

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
SALLY J VANSWEDEN (MD)
NPI
1053394551
Phone
(269) 349-2641
Address
505 E Alcott St
Enumeration Date
29 November 2005
Last Update Date
28 December 2022

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8882580875
Graduation Year
1997 (29 years ago)
PAC ID
2567352198
Group Practice PAC ID
0244148633
Professional Enrollment ID
I20040322000293
Address ID
MI490173307BA300XXAVEX300

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,204 PEDIATRIC MEDICINE in MI

Provider Addresses for SALLY J VANSWEDEN (MD)

  • 505 E Alcott St

    Kalamazoo, MI 490016144

    Phone: (269) 349-2641

    Type: Location

  • 117 W Paterson St

    Kalamazoo, MI 490072581

    Phone: (269) 349-2641

    Type: Location

  • Bronson Methodist Hospital, 601, John Street, Kalamazoo, Kalamazoo County, Michigan, 49007, United States

    BOX 42

    KALAMAZOO, MI 490075341

    Phone: (269) 341-8481

    Fax: (269) 341-7781

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $523.

Total Amount is formed as General ($523) + Research ($0) + Ownership ($0) = $523.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PFIZER INC. ($189).

Total Amount

$523

General + Research + Ownership

Payments

31

Total payment records

General Amount

$523

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-03-22

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
I20040322000293IPediatric 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes288147$0
99239Hospital discharge day management, more than 30 minutes8989$0
99204New patient office or other outpatient visit, 45-59 minutes8787$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6060$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6037$0
View full utilization report →

Insurance plans in this area (ZIP 49001)

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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: 0244148633View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Hand Surgery, Orthopedic SurgeryMI
Physician AssistantMI
Physician AssistantMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Endocrinology, Internal MedicineMI
Clinical Social WorkerMI
Internal MedicineMI

Reviews

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Frequently asked questions

How do payers reference SALLY J VANSWEDEN (MD)?
For SALLY J VANSWEDEN (MD), use NPI 1053394551 as the unique 10-digit identifier.
Active or inactive — what applies to SALLY J VANSWEDEN (MD)?
You should see SALLY J VANSWEDEN (MD) as active in CMS-hosted NPPES data.
What area of care is associated with SALLY J VANSWEDEN (MD)?
SALLY J VANSWEDEN (MD)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SALLY J VANSWEDEN (MD)?
Travel planning: use Kalamazoo, Michigan as the reference point for SALLY J VANSWEDEN (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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