VISIONARY MEDICAL SERVICES PC – Emergency Medicine Physician, NPI 1538216569
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for VISIONARY MEDICAL SERVICES PC
2536 MOMENTUM PL
CHICAGO, IL 606895325
Phone: (616) 975-1845
Fax: (616) 285-0846
Type: Mailing
8333 Felch St
Zeeland, MI 494642608
Phone: (866) 703-2452
Type: Location
418 Washington St
Lakeview, MI 488507102
Phone: (989) 352-7211
Type: Location
80 68th St SE
Grand Rapids, MI 495486980
Phone: (616) 391-8220
Type: Location
100 Michigan St NE
Grand Rapids, MI 495032560
Phone: (616) 391-1730
Type: Location
145 Michigan St NE
Grand Rapids, MI 495032562
Phone: (616) 486-5700
Type: Location
1 Atkinson Dr
Ludington, MI 494311906
Phone: (231) 843-2591
Type: Location
1840 Wealthy St SE
Grand Rapids, MI 495062921
Phone: (616) 391-1730
Type: Location
3264 N Evergreen Dr NE
Grand Rapids, MI 495259746
Phone: (616) 391-6002
Type: Location
212 S Sullivan Ave
Fremont, MI 494121548
Phone: (866) 270-4203
Type: Location
300 N Patterson Rd
Reed City, MI 496778041
Phone: (231) 832-3271
Type: Location
605 Oak St
Big Rapids, MI 493072048
Phone: (231) 796-8691
Type: Location
1009 W Green St
Hastings, MI 490581790
Phone: (269) 945-3451
Type: Location
615 S Bower St
Greenville, MI 488382614
Phone: (866) 542-7910
Type: Location
Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States
GRAND RAPIDS, MI 495032560
Phone: (616) 391-1680
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: 2007-03-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20070308000475 | O | Clinic/Group Practice | MI | TBD |
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.
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 60689)
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