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Ascension Medical Group Promed

Family Medicine Physician in Portage, MI · enumerated 2006 · authorized official Jeffrey Costello, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497709869

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Registry record

Entity type Organization (Type 2)
Legal business name Ascension Medical Group Promed
Practice address 7901 Angling Rd, Portage, MI, 49024
Phone (269) 552-2912
Fax (269) 552-2835
Enumeration date May 20, 2006
Last updated in NPPES Jun 24, 2026

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207RG0300X Geriatric Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians Secondary
207VG0400X Gynecology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
251J00000X Nursing Care Agency Agencies Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jeffrey Costello
Title Cfo
Phone (574) 647-3460

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-06-24. Verify at npiregistry.cms.hhs.gov.
Where is Ascension Medical Group Promed located?
The practice location on file with NPPES is in Portage, MI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-24.