Active NPI
Ian Ridge, MD
- Orthopaedic Surgery Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 1063909695
- Practice address
- 3394 E Jolly Rd Ste a
Lansing, MI 48910-8595 - Phone
- (517) 253-5100
- NPI assigned
- Apr 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 1063909695 | MI | Primary |
Addresses
Primary practice location
3394 E Jolly Rd Ste a
Lansing, MI 48910-8595
Mailing address
PO Box 13008
Lansing, MI 48901-3008
Other practice location 1
11234 Anderson St
Loma Linda, CA 92354-2804
Phone (909) 558-6444
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3394 E Jolly Rd a
SMG Orthopedics and Sport Medicine
Lansing, MI 48910-8595
Phone (517) 394-3200
Hospital & facility affiliations
- Edward W Sparrow Hospital
- University of Michigan Health- Sparrow Clinton
- University of Michigan Health - Sparrow Eaton
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1063909695 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Orthopaedic Surgery | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840
4660 S Hagadorn Rd
Ste 310
East Lansing, MI 48823
Phone (517) 364-8890
2900 Hannah Blvd
Ste B102
East Lansing, MI 48823
Phone (517) 364-8050
114 N Main St
Ithaca, MI 48847
Phone (989) 875-4166
1120 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 364-9777
1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180
3394 E Jolly Rd
Ste A
Lansing, MI 48910
Phone (517) 253-5100
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
1215 E Michigan Ave
Ste A
Lansing, MI 48912
805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881
Interoperability endpoints
- iridge150561@direct.llu.edu
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Orthopaedic Surgery Physician
- East Lansing, MI
- NPI 1700365244
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lansing, MI
- NPI 1033162326
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
-
- Critical Access Hospital
- Charlotte, MI
- NPI 1942254529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1063909695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13008",
"city": "LANSING",
"state": "MI",
"postal_code": "489013008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3394 E JOLLY RD STE A",
"city": "LANSING",
"state": "MI",
"postal_code": "489108595",
"telephone_number": "517-253-5100"
}
],
"practiceLocations": [
{
"address_1": "11234 Anderson St",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923542804",
"country_code": "US",
"telephone_number": "909-558-6444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDGE",
"first_name": "IAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-19",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "1063909695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.