Individual provider Active NPI

Shanti Virupannavar, D.O.

  • Internal Medicine Physician
  • Okemos, MI
National Provider Identifier
1003109075
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101019203 Issued in MI
Practice address
2375 Woodlake Dr Ste 300
Okemos, MI 48864-6021
Phone
(517) 908-3600
Fax
(517) 908-3601
NPI assigned
May 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101019203 MI Primary

Addresses

Primary practice location

2375 Woodlake Dr Ste 300
Okemos, MI 48864-6021

Mailing address

2375 Woodlake Dr Ste 300
Okemos, MI 48864-6021
Phone (517) 908-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004002287 MI Practitioner - Rheumatology 7113228263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Michigan State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Rheumatology PCGroup PAC ID 4880879857, 2 clinicians

Practice addresses (Care Compare)

4202 Collins Rd
Suite 115
Lansing, MI 48910-5894
Phone (517) 908-3600

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • University of Michigan Health- Sparrow Clinton Hospital, Saint Johns, MI, CCN 231326
  • University of Michigan Health-Sparrow Carson Hospital, Carson City, MI, CCN 230208
  • University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101019203MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Rheumatology, PC Rheumatology CurrentSince Oct 1, 2016 Accepting new patients
Lansing Family Physicians PC PastSince Oct 1, 2016 Accepting new patients

Locations

4202 Collins Rd
Ste 115
Lansing, MI 48910
Phone (517) 484-4520

2375 Woodlake Dr
Ste 300
Okemos, MI 48864
Phone (517) 908-3594

Interoperability endpoints

  • Direct secure messaging: shanti.virupannavar.p1@direct.advrheum.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIFCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1003109075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 WOODLAKE DR STE 300",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646021",
            "telephone_number": "517-908-3600",
            "fax_number": "517-908-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 WOODLAKE DR STE 300",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646021",
            "telephone_number": "517-908-3600",
            "fax_number": "517-908-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRUPANNAVAR",
        "first_name": "SHANTI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101019203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.