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

Nicholas Michael Bontumasi, MD

Individual provider Dermatology Physician · NPI 1306289574

Nicholas Michael Bontumasi, MD is a Dermatology in Grand Haven, Michigan. Graduated from Washington University School of Medicine in 2013, 13 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
13
Trained at
Washington University School of Medicine
Licensed in
IA
In the registry since
2013
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

1600 S Beacon Blvd Ste 160
Grand Haven, MI 49417-2654
Phone: (616) 268-2001
Fax: (616) 268-2002
Show map & directions

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

Additional practice locations (1)

  • 2525 E Paris Ave Se Ste 100, Grand Rapids, MI 49546-6191 — (616) 678-2070

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence R-09922 (IA)

Record details

NPI number1306289574
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2013
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 28, 2022
Mailing address801 York St, Manitowoc, WI 54220-4630

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Haven