Individual provider Active NPI

John Wesley Mesko, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Lansing, MI
National Provider Identifier
1043200306
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
JM056304 Issued in MI
Practice address
2815 S Pennsylvania Ave
Suite 204
Lansing, MI 48910-3496
Phone
(517) 267-0200
Fax
(517) 267-1877
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X JM056304 MI Primary

Addresses

Primary practice location

2815 S Pennsylvania Ave
Suite 204
Lansing, MI 48910-3496

Mailing address

2815 S Pennsylvania Ave
Suite 204
Lansing, MI 48910-3496
Phone (517) 267-0200

Other identifiers 7

IdentifierTypeStateIssuer
4954152MedicaidMI
JM056304OtherLICENSE
200000006522OtherMIPHP
P00366506OtherMIRAILROAD MEDICARE
2003313211OtherMIBLUES
P54271OtherBCN
4642835OtherAETNA

Other names 1

  • J Wesley Mesko Professional name

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
I20050103000329 MI Practitioner - Orthopedic Surgery 4880652700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Orthopedic Center P CGroup PAC ID 8527026442, 30 clinicians

Practice addresses (Care Compare)

3404 Patient Care Dr
Lansing, MI 48911-4217
Phone (517) 267-0200

Hospital & facility affiliations

  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • University of Michigan Health- Sparrow Clinton Hospital, Saint Johns, MI, CCN 231326
  • Eaton Rapids Medical Center Hospital, Eaton Rapids, MI, CCN 231324
  • University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement47
Knee replacement55
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
JM056304MIMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Orthopedic Center P C Adult Reconstructive Orthopaedic Surgery CurrentSince Jan 1, 1989 Accepting new patients
Charles J Taunt Jr DO PC Adult Reconstructive Orthopaedic Surgery Past Accepting new patients
Daniel R Mesko DO PC Adult Reconstructive Orthopaedic Surgery PastSince Aug 1, 2018 Accepting new patients

Locations

2901 Stabler St
Uppr
Lansing, MI 48910
Phone (517) 393-8700

3404 Patient Care Dr
Lansing, MI 48911
Phone (517) 267-0200

2815 S Pennsylvania Ave
Ste 204
Lansing, MI 48910
Phone (517) 267-0200

Organizations & group practices 3

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 9

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043200306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S PENNSYLVANIA AVE",
            "address_2": "SUITE 204",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103496",
            "telephone_number": "517-267-0200",
            "fax_number": "517-267-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S PENNSYLVANIA AVE",
            "address_2": "SUITE 204",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103496",
            "telephone_number": "517-267-0200",
            "fax_number": "517-267-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESKO",
        "first_name": "JOHN",
        "middle_name": "WESLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MI",
            "license": "JM056304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4954152",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "JM056304",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "200000006522",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00366506",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUES",
            "identifier": "2003313211",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P54271",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4642835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "MESKO",
            "middle_name": "WESLEY",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.