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Dr. Laura S Bouch , DO

Pediatrics β€’ Caledonia, MI

Active NPI 1487617304 Individual Practitioner Female Practitioner
Practice location in NPPES

8941 N Rodgers Ct Se
Caledonia, MI 493168013

Call 6162525300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8941 N Rodgers Ct Se

Caledonia, MI 493168013

Telephone 6162525300
Fax 6162525390
Organization at the Same NPPES Address or Phone
Metro Weekend Care Services, Llc Facility NPI 1346304243

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Bouch has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Bouch as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Caledonia and Michigan

8 active clinicians are listed under Pediatrics with a practice address in Caledonia, MI (2,181 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MI 5101015239

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1487617304 (MI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20050509000830

Enrollment State Jurisdiction

MI

PECOS Control ID

6901846930

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Dr. David Ehrhardt , DO

Psychiatry & Neurology - Neurology

NPI 1710255575

Doctor of Osteopathic Medicine (D.O.)

Gayle Hofmann , PA-C

Physician Assistant

NPI 1770886269

Physician Assistant (Certified)

Dr. Aryn Johnson , DO

Family Medicine - Sports Medicine

NPI 1376586461

Doctor of Osteopathic Medicine (D.O.)

Valerie Kloosterman , PA-C

Physician Assistant

NPI 1487684262

Physician Assistant (Certified)

Dr. Michael Kogut , DO

Internal Medicine

NPI 1649619925

Doctor of Osteopathic Medicine (D.O.)

Dr. Tyler Ledy , MD

Family Medicine

NPI 1619596814

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
βœ…
NPI Profile Active December 05, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 05, 2017

Registered at 8941 N RODGERS CT SE, CALEDONIA, MI 493168013 (Tel: 6162525300)

πŸ“
Updated Business Mailing Address December 05, 2017

Registered at 5900 BYRON CENTER AVE SW, ATTN: MEDICAL ADMINISTRATION, WYOMING, MI 495199606 (Tel: 6162523243)

πŸ‘€
Provider Name / Credentials Updated December 05, 2017

Recorded as LAURA BOUCH, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2017

Pediatrics (license number reported to NPPES: MI 5101015239)

πŸ“
Updated Business Mailing Address February 17, 2017

Registered at 5900 BYRON CENTER AVE SW, ATTN: MEDICAL ADMINISTRATION, WYOMING, MI 495199606

βœ…
NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 17, 2014

Registered at 8941 N RODGERS CT SE, CALEDONIA, MI 493168013 (Tel: 6162525300)

πŸ“
Business Mailing Address (Initial Record) June 17, 2014

Registered at 2122 HEALTH DR SW, SUITE 230, WYOMING, MI 495199698

πŸ‘€
Provider Name / Credentials (Initial Record) June 17, 2014

Recorded as LAURA BOUCH, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Pediatrics (license number reported to NPPES: MI 5101015239)

🟒
Initial NPI Registration & Enumeration April 11, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487617304
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2006
Last Update: October 01, 2018
Sole Proprietor: No

Mailing Address

5900 Byron Center Ave Sw, Attn: Medical Administration

Wyoming, MI 495199606

Phone: 6162525300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.