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Ascension Medical Group Promed

Internal Medicine Physician in Kalamazoo, MI · enumerated 2006 · authorized official Irene Maffetone, Manager Contracting and Payor Relat.

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

National Provider Identifier

1720009954

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Registry record

Entity type Organization (Type 2)
Legal business name Ascension Medical Group Promed
Practice address 1717 Shaffer St, Ste 124, Kalamazoo, MI, 49048
Enumeration date Jul 22, 2006
Last updated in NPPES Jul 8, 2026

Taxonomy & classification

207QH0002X Hospice and Palliative Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
207RH0002X Hospice and Palliative Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary
207RR0500X Rheumatology Physician Allopathic & Osteopathic Physicians Secondary
2080N0001X Neonatal-Perinatal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
2085N0700X Neuroradiology Physician Allopathic & Osteopathic Physicians Secondary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary
363LA2100X Acute Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Irene Maffetone
Title Manager Contracting and Payor Relat

Other identifiers

Identifier Type State Issuer
700C910600 Other - BCBSM
1720009954 Medicaid MI -

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

What is the NPI number for Ascension Medical Group Promed?
The NPI for Ascension Medical Group Promed is 1720009954, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ascension Medical Group Promed?
NPPES lists Irene Maffetone (Manager Contracting and Payor Relat) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-08.