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

Sara Custodio, MD

Individual provider Internal Medicine Physician · NPI 1417162173

Sara Custodio, MD is an Internal Medicine in Kalamazoo, Michigan. Graduated from Michigan State University College of Human Medicine in 2005, 21 years ago. Practices with Bronson Methodist Hospital, a 719-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2007
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

5629 Stadium Dr Ste B
Kalamazoo, MI 49009-1952
Phone: (269) 544-3270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301085859 (MI)

Record details

NPI number1417162173
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESNovember 27, 2023
Certification dateOctober 2, 2020
Mailing address5629 Stadium Dr, Suite B, Kalamazoo, MI 49009-1952

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2005 (21 years in practice)
Group practice Bronson Methodist Hospital — 719 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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