ASCENSION MEDICAL GROUP PROMED – Internal Medicine Physician, NPI 1720009954

ASCENSION MEDICAL GROUP PROMED is a healthcare provider. based in Granger, Indiana. specializing in Internal Medicine Physician. The NPI Number for ASCENSION MEDICAL GROUP PROMED is 1720009954

Main info

Organization
Name
ASCENSION MEDICAL GROUP PROMED
NPI
1720009954
Phone
(574) 647-2043
Address
3245 HEALTH DR STE 100
Authorized Official
IRENE MAFFETONE MANAGER CONTRACTING AND PAYOR RELAT
Enumeration Date
22 July 2006
Last Update Date
1 June 2026
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for ASCENSION MEDICAL GROUP PROMED

  • 3245 HEALTH DR STE 100

    GRANGER, IN 465301380

    Phone: (574) 647-2043

    Type: Mailing

  • 1717, Shaffer Street, Eastwood, Kalamazoo Charter Township, Kalamazoo County, Michigan, 49048, United States

    STE 124

    KALAMAZOO, MI 490481647

    Phone: (269) 344-5552

    Type: Location

  • Shaffer Street, Eastwood, Kalamazoo Charter Township, Kalamazoo County, Michigan, 49048, United States

    KALAMAZOO, MI 490481623

    Phone: (269) 552-2836

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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

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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 46530)

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Reviews

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Frequently asked questions

What is the standard ID for ASCENSION MEDICAL GROUP PROMED in the U.S.?
In the U.S., ASCENSION MEDICAL GROUP PROMED is identified by NPI 1720009954.
Is ASCENSION MEDICAL GROUP PROMED's NPI status active today?
Active status means ASCENSION MEDICAL GROUP PROMED's NPI record is not deactivated in the public file.
How should patients interpret ASCENSION MEDICAL GROUP PROMED's specialty?
The extract shows Internal Medicine Physician for ASCENSION MEDICAL GROUP PROMED. Clinical services aligned with this taxonomy classification.
What city is tied to ASCENSION MEDICAL GROUP PROMED?
The directory associates ASCENSION MEDICAL GROUP PROMED with Granger, Indiana. Check all listed addresses for suites or satellite offices.
Why is information missing for ASCENSION MEDICAL GROUP PROMED?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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