Individual provider Active NPI

Ranjan K Thakur, MD

  • Clinical Cardiac Electrophysiology Physician
  • Lansing, MI
National Provider Identifier
1093713885
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
4301047053 Issued in MI
Practice address
1140 E Michigan Ave Ste 400
Lansing, MI 48912-1806
Phone
(517) 364-9650
Fax
(517) 364-9605
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 4301047053 MI Primary

Addresses

Primary practice location

1140 E Michigan Ave Ste 400
Lansing, MI 48912-1806

Mailing address

3500 S Cedar St
Ste 116
Lansing, MI 48910-4699
Phone (517) 887-2511

Other identifiers 1

IdentifierTypeStateIssuer
3014977MedicaidMI

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
I20050729000248 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 3678485307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1140 E Michigan Ave
400 Sparrow Tci
Lansing, MI 48912-1806
Phone (517) 364-9650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301047053MIMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association Cardiovascular Disease CurrentSince May 19, 2018 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

800 W Lawrence Ave
Charlotte, MI 48813
Phone (517) 541-5800

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

1140 E Michigan Ave
Ste 40
Lansing, MI 48912
Phone (517) 483-7550

1140 E Michigan Ave
Lansing, MI 48912
Phone (517) 364-5200

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

1140 E Michigan Ave
Ste 400
Lansing, MI 48912
Phone (517) 483-7550

300 Health Park Dr
Ste 301
Owosso, MI 48867
Phone (989) 723-3613

901 S Oakland St
Ste 101
Saint Johns, MI 48879
Phone (517) 332-4263

301 Williamston Center Rd
Williamston, MI 48895
Phone (517) 253-5125

Interoperability endpoints

  • Direct secure messaging: rthakur15756@sparrowdirecthie.org

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.

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1093713885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S CEDAR ST",
            "address_2": "STE 116",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489104699",
            "telephone_number": "517-887-2511",
            "fax_number": "517-882-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 E MICHIGAN AVE STE 400",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121806",
            "telephone_number": "517-364-9650",
            "fax_number": "517-364-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "RANJAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MI",
            "license": "4301047053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3014977",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.