Internal Medicine
ASCENSION MEDICAL GROUP PROMED
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1720009954 · enumerated 2006-07-22 · record updated 2026-10-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: IRENE MAFFETONE, Manager Contracting and Payor Relat · (574) 647-1040
Other names: BEACON MEDICAL GROUP MICHIGAN
Addresses and phones
- Mailing address 3245 HEALTH DR STE 100, GRANGER, IN, 46530-1380 (574) 647-1820 Fax (574) 647-1821 Google Maps Apple Maps OpenStreetMap
- Practice location 1717 SHAFFER ST, STE 124, KALAMAZOO, MI, 49048-1647 (269) 344-5552 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine, Hospice and Palliative Medicine 207QH0002X
- Internal Medicine 207R00000X · Primary
- Internal Medicine, Cardiovascular Disease 207RC0000X
- Internal Medicine, Gastroenterology 207RG0100X
- Internal Medicine, Hospice and Palliative Medicine 207RH0002X
- Internal Medicine, Pulmonary Disease 207RP1001X
- Internal Medicine, Rheumatology 207RR0500X
- Pediatrics, Neonatal-Perinatal Medicine 2080N0001X
- Physical Medicine & Rehabilitation 208100000X
- 2085N0700X 2085N0700X
- 2086S0129X 2086S0129X
- Urology 208800000X
- Nurse Practitioner, Acute Care 363LA2100X
- Nurse Practitioner, Family 363LF0000X
In this directory
Locations and evidence
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Practice location
KALAMAZOO, MI, 490481647
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.