Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Blok, MD

Individual provider Emergency Medicine Physician · NPI 1306367230

Derek Blok, MD is an Emergency Medicine in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 2017, 9 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2770 E Beltline Ave NE
Grand Rapids, MI 49525-8614
Phone: (616) 267-8741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence 4301119280 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301119280 (MI)

Record details

NPI number1306367230
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2017
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024
Mailing address4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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