Borgess Lee Medical Group – Rural Health Clinic/Center, NPI 1194717504
Rural Health Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Borgess Lee Medical Group
520 MAIN ST STE A
DOWAGIAC, MI 490471762
Phone: (269) 783-3052
Type: Location
1717 SHAFFER STREET
SUITE 002
KALAMAZOO, MI 49048
Phone: (269) 552-2830
Type: Mailing
420 W. HIGH STREET
DOWAGIAC, MI 490471762
Phone: (269) 783-3052
Type: Location
Ascension Borgess-Lee Hospital, 420, West High Street, Dowagiac, Cass County, Michigan, 49047, United States
DOWAGIAC, MI 490471943
Phone: (269) 783-3089
Fax: (269) 783-3097
Type: Mailing
520 Main St Ste A
Dowagiac, MI 490471762
Phone: (269) 783-3052
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: 2008-03-04
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (288 days ago).
Enrollment records
2
Earliest due date
2025-08-31
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 |
|---|---|---|---|---|
| O20031119000763 | O | Clinic/Group Practice | MI | TBD |
| O20080304000655 | O | Rural Health Clinic | MI | 2025-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 49047)
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