CMS-1500 Box 24J / 33a • NPI
1821045212
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
208M00000X (CMS C6)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist
Box 32 Service Location & ZIP+4
411 NAOMI ST, PLAINWELL, MI, 49080-1222
✓ 9-Digit EDI 837 ZIP+4 (49080-1222)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1821045212 (BEACON KALAMAZOO INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1821045212 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BEACON KALAMAZOO INC |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist NUCC Code: 208M00000X (Hospitalist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 411 NAOMI ST, PLAINWELL, MI, 49080-1222 |
| Practice Telephone / Fax | Tel: (269) 685-6811 |
| Administrative Mailing Address | 3245 HEALTH DR, GRANGER, IN, 46530-1380 |
| Enumeration & Last Sync | Enumerated: 2006-05-30 | CMS Record Updated: 2026-10-09 |
| Authorized Official | IRENE MAFFETONE (Manager Contracting) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208M00000X)
What Does Taxonomy Code 208M00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208M00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BEACON KALAMAZOO INC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: N/A | License: Verified | Primary: Secondary |
207RC0000X — Internal Medicine, Cardiovascular DiseasePlain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist) | State: N/A | License: Verified | Primary: Secondary |
207RP1001X — Internal Medicine, Pulmonary DiseasePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: MI | License: Verified | Primary: Secondary |
2080N0001X — Pediatrics, Neonatal-Perinatal MedicinePlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: N/A | License: Verified | Primary: Secondary |
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: N/A | License: Verified | Primary: Secondary |
208M00000X — HospitalistPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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