Individual provider Active NPI

David Cervi, D.O., PH.D.

  • Pediatric Hematology & Oncology Physician
  • Lansing, MI
National Provider Identifier
1013256825
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
5101020262 Issued in MI
Practice address
1200 E Michigan Ave Ste 145
Lansing, MI 48912-1897
Phone
(517) 364-5440
Fax
(517) 364-5409
NPI assigned
Feb 14, 2013
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 5101020262 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave Ste 145
Lansing, MI 48912-1897

Mailing address

804 Service Rd Ste A202
East Lansing, MI 48824-7015
Phone (517) 364-5440

Other practice location 1

500 Campus Dr
Hancock, MI 49930-1452
Phone (906) 483-1000

Other practice location 2

850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 225-3141

Other practice location 3

2012 E Preston St
Mount Pleasant, MI 48858-8990
Phone (989) 773-5921

Other practice location 4

1715 Lansing Ave
Jackson, MI 49202-2192
Phone (517) 788-4420

Other practice location 5

3409 Ludington St Ste 103
Escanaba, MI 49829-4213
Phone (906) 786-5707

Other practice location 6

710 Kenmoor Ave SE Ste 200
Grand Rapids, MI 49546-2379
Phone (616) 954-5554

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
I20221117001159 MI Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 9931400504 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Dec 6, 2024 Accepting new patients
Msu Health Care Inc. CurrentSince Jan 1, 2023 Accepting new patients
Msu Health Care Inc Current Accepting new patients
Msu Health Care Inc Pediatric Hematology-Oncology CurrentSince Jan 1, 2023 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Dec 6, 2024 Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients
Central Michigan District Health Department PastSince Oct 1, 2015 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

4660 S Hagadorn Rd
Ste 405
East Lansing, MI 48823
Phone (517) 364-5440

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

3409 Ludington St
Ste 103
Escanaba, MI 49829
Phone (906) 789-4040

710 Kenmoor Ave SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 588-7246

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

1715 Lansing Ave
Jackson, MI 49202
Phone (517) 788-4364

1200 E Michigan Ave
Ste 145
Lansing, MI 48912
Phone (517) 364-5440

1200 E Michigan Ave
Ste 460
Lansing, MI 48912
Phone (517) 364-2097

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595

2012 E Preston St
Mt Pleasant, MI 48858
Phone (989) 773-5921

Interoperability endpoints

  • Direct secure messaging: david.cervi.1@25394.direct.athenahealth.com
  • Direct secure messaging: david.cervi.1@8233.direct.athenahealth.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1013256825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A202",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-364-5440",
            "fax_number": "517-364-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE STE 145",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121897",
            "telephone_number": "517-364-5440",
            "fax_number": "517-364-5409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Hancock",
            "state": "MI",
            "postal_code": "499301452",
            "country_code": "US",
            "telephone_number": "906-483-1000",
            "fax_number": "906-483-1521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 W Baraga Ave",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554550",
            "country_code": "US",
            "telephone_number": "906-225-3141",
            "fax_number": "906-449-1815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2012 E Preston St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "488588990",
            "country_code": "US",
            "telephone_number": "989-773-5921",
            "fax_number": "989-773-4319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1715 Lansing Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492022192",
            "country_code": "US",
            "telephone_number": "517-788-4420",
            "fax_number": "517-788-4373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3409 Ludington St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498294213",
            "country_code": "US",
            "telephone_number": "906-786-5707",
            "fax_number": "906-786-4004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Kenmoor Ave SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495462379",
            "country_code": "US",
            "telephone_number": "616-954-5554",
            "fax_number": "616-451-9120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVI",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-14",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MI",
            "license": "5101020262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.