DR. EDWIN LAURITZ JR. FUNDINGSLAND (DO) – Emergency Medicine Physician, NPI 1396313755

DR. EDWIN LAURITZ JR. FUNDINGSLAND (DO) is a healthcare provider. based in Kalamazoo, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 5151015169 (MI). The NPI Number for DR. EDWIN LAURITZ JR. FUNDINGSLAND (DO) is 1396313755

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWIN LAURITZ JR. FUNDINGSLAND (DO)
NPI
1396313755
Phone
Not provided
Address
1000 OAKLAND DR
Enumeration Date
14 June 2021
Last Update Date
17 July 2023

Doctor Profile

Medical School Name
ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
7855055000
Graduation Year
2021 (5 years ago)
PAC ID
5092117333
Group Practice PAC ID
1052730025
Professional Enrollment ID
I20241115003660
Address ID
KS660441360LA325XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for DR. EDWIN LAURITZ JR. FUNDINGSLAND (DO)

  • 1000 OAKLAND DR

    KALAMAZOO, MI 490081282

    Phone:

    Mailing address matches the actual address.

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: 2024-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230821001535IEmergency MedicineMITBD
I20241115003660IEmergency MedicineKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49008)

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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: 1052730025View full group profile
NameSpecialtyState
Emergency MedicineKS
Emergency MedicineKS
Nurse PractitionerKS
Emergency MedicineTX
Emergency MedicineKS
Emergency MedicineKS
Emergency MedicineKS
Emergency MedicineKS
Emergency MedicineKS
Emergency MedicineKS

Reviews

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Frequently asked questions

Does DR. EDWIN LAURITZ JR. FUNDINGSLAND (DO) have a public NPI I can cite?
Public records show DR. EDWIN LAURITZ JR. FUNDINGSLAND (DO) under NPI 1396313755.
Is DR. EDWIN LAURITZ JR. FUNDINGSLAND (DO) currently accepting referrals based on NPI status?
Registry metadata lists DR. EDWIN LAURITZ JR. FUNDINGSLAND (DO) as active.
What does the directory say DR. EDWIN LAURITZ JR. FUNDINGSLAND (DO) does?
Insurance directories may phrase it differently, but here DR. EDWIN LAURITZ JR. FUNDINGSLAND (DO) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. EDWIN LAURITZ JR. FUNDINGSLAND (DO)?
DR. EDWIN LAURITZ JR. FUNDINGSLAND (DO) is associated with Kalamazoo, Michigan in the same public data insurers reference.
Who maintains DR. EDWIN LAURITZ JR. FUNDINGSLAND (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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