Active NPI
Victor A Elgabalawi
- Hospitalist Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 4301097353
- Practice address
- 1215 E Michigan Ave
Lansing, MI 48912-1811 - Phone
- (517) 364-3380
- Fax
- (517) 364-3399
- NPI assigned
- Apr 28, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301097353 | MI | |
| Hospitalist Physician | 208M00000X | 4301097353 | MI | Primary |
Addresses
Primary practice location
1215 E Michigan Ave
Lansing, MI 48912-1811
Mailing address
PO Box 13008
Lansing, MI 48901-3008
Phone (517) 364-6253
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
- Hospitalist
- Education
- Michigan State University College of Human Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-1000
Hospital & facility affiliations
- Edward W Sparrow Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Vituity - Michigan Hospitalists PC | Internal Medicine | Current | Accepting new patients |
| Sparrow Ionia Hospital | Internal Medicine | Current | Accepting new patients |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
8175 Reliable Pkwy
Chicago, IL 60686
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1215 E Michigan Ave
#8W
Lansing, MI 48912
Phone (517) 364-2614
805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Lansing, MI
- NPI 1487278156
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Saint Johns, MI
- NPI 1306893078
-
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
-
- Long Term Care Hospital
- Lansing, MI
- NPI 1437655842
-
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
-
- Family Medicine Physician
- Ionia, MI
- NPI 1033271143
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
Hospital & facility affiliations 2
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1104143296",
"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",
"telephone_number": "517-364-6253",
"fax_number": "517-364-6204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E MICHIGAN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489121811",
"telephone_number": "517-364-3380",
"fax_number": "517-364-3399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELGABALAWI",
"first_name": "VICTOR",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-28",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301097353",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "4301097353",
"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 Sep 4, 2020; 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.