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

John Elenbaas, MD

Individual provider Anesthesiology Physician · NPI 1194344002

John Elenbaas, MD is an Emergency Medicine in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 2020, 6 years ago. Practices with Ecs Western Michigan PC, a 201-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2020
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

100 Michigan St NE # MC49
Grand Rapids, MI 49503-2560
Phone: (616) 391-1680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4351046782 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4351046782 (MI)

Record details

NPI number1194344002
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2020
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416

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 2020 (6 years in practice)
Group practice Ecs Western Michigan Pc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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