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

Maximiliano Andres Tamae Kakazu, MD

Individual provider Pulmonary Disease Physician · NPI 1811134562

Maximiliano Andres Tamae Kakazu, MD is a Pulmonary Disease in Grand Rapids, Michigan. Qualified in 2002, 24 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4100 Lake Dr SE Ste 200
Grand Rapids, MI 49546-8292
Phone: (616) 267-8244
Fax: (616) 267-7272
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 4301102382 (MI)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 4301102382 (MI)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence 4301102382 (MI)

Record details

NPI number1811134562
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 16, 2009
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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