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Organization

Spectrum Health Primary Care Partners

NPI Record: ActivePediatrics — Neurodevelopmental Disabilities
NPI1578860912
Grand Rapids, Michigan

Provider's NPPES record last updated: October 31, 2023

Overview

Entity Type
Organization
NPI
1578860912
Primary Specialty
Pediatrics — Neurodevelopmental Disabilities
Practice Location
Grand Rapids, Michigan
Organization Subpart
Yes
Parent Organization
Spectrum Health Primary Care Partners

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 11:49 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Neurodevelopmental Disabilities

    Allopathic & Osteopathic Physicians

    Primary

    A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

    Taxonomy code 2080P0008X
  • Internal Medicine

    Cardiovascular Disease

    Allopathic & Osteopathic Physicians

    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

    Taxonomy code 207RC0000X

Practice Locations

Practice Location

700 Fuller Ave Ne

Grand Rapids, Michigan 49503-1918

Phone: (616) 365-2310

Other Names

  • Corewell Health Medical Group WestReported October 31, 2023

Record Information

Enumeration Date
February 22, 2011
Provider's NPPES Record Last Updated
October 31, 2023
Certification Date
October 31, 2023
NPISignal NPPES Dataset
August 2026

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