VICTOR M JIMENEZ (MD) – Family Medicine Physician, NPI 1528045333

Excluded from federal healthcare programs (Medicare/Medicaid)

This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2021-08-19. Reason: License revocation, suspension, or surrender.

Family Medicine Physician

VICTOR M JIMENEZ (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 4301086868 (MI). The NPI Number for VICTOR M JIMENEZ (MD) is 1528045333

Main info

Male

44 Years Of Experience

Accepts Medicare Assignment

Name

VICTOR M JIMENEZ (MD)

NPI

1528045333

Phone

(616) 957-9261

Address

2442 BLACK HORSE DR NE

Enumeration Date

22 December 2005

Last Update Date

12 January 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8109892530

Graduation Year

1982 (44 years ago)

PAC ID

6800894411

Group Practice PAC ID

9931332194

Professional Enrollment ID

I20061115000040

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience74

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for VICTOR M JIMENEZ (MD)

2442, Black Horse Drive Northeast, Aberdeen Valley, Grand Rapids Charter Township, Kent County, Michigan, 49505, United States
GRAND RAPIDS, MI 495053968
Phone: (616) 957-9261
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 49505)

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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: 9931332194View full group profile

Name	Specialty	State
MARK G KANITZ (MD)	-	IL
ANNA MARIE TOBIN (PA-C)	-	MI
MARISA ANN HERRERA (NP)	-	MI
BRYAN COLE HUNTER (NP)	-	MI
RAMESHBHAI MANUBHAI PATEL (MD)	-	MI
JULIEANNE RENEE WATTERS (DO)	-	PA
MS. ERIN E. MAZUR	-	MI
DR. VIJAY C PATEL (M.D.)	Family Practice	MI
DR. ROBERT D KRAFF (MD)	-	IN
DR. DAVID RALPH FERRELL (MD)	-	WV

Reviews

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Frequently asked questions

Can I verify VICTOR M JIMENEZ (MD) with an NPI only?

You can start verification with NPI 1528045333 for VICTOR M JIMENEZ (MD), then check state licensing separately.

Can I rely on VICTOR M JIMENEZ (MD) being an active provider?

As of the registry snapshot, VICTOR M JIMENEZ (MD) is marked active.

What is VICTOR M JIMENEZ (MD)'s primary classification?

Family Medicine Physician is the headline specialty for VICTOR M JIMENEZ (MD) here. Clinical services aligned with this taxonomy classification.

What area does VICTOR M JIMENEZ (MD) serve?

VICTOR M JIMENEZ (MD)'s listing highlights Grand Rapids, Michigan; more addresses can appear in NPPES.

Is the information about VICTOR M JIMENEZ (MD) up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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