Individual provider Active NPI

Lawrence G Rapp, M.D.

  • Neurological Surgery Physician
  • Clarkston, MI
National Provider Identifier
1124008842
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301404978 Issued in MI
Practice address
7650 Dixie Hwy
Suite 140
Clarkston, MI 48346-2078
Phone
(248) 620-9310
Fax
(248) 620-9311
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 4301404978 MI Primary

Addresses

Primary practice location

7650 Dixie Hwy
Suite 140
Clarkston, MI 48346-2078

Mailing address

7650 Dixie Hwy
Suite 140
Clarkston, MI 48346-2078
Phone (248) 620-9310

Other identifiers 8

IdentifierTypeStateIssuer
0992212OtherMIHEALTH PLUS OF MICHIGAN
140005777OtherMIRAILROAD MEDICARE
700F318300OtherMIBLUE CROSS BLUE SHIELD
000000003417OtherMICAPE HEALTH PLAN
0004632168OtherMIAETNA HEALTH PLANS
C5501OtherMIM-CARE
104339OtherMIPREFERRED CHOICES
3439520MedicaidMI

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
I20050421000234 MI Practitioner - Neurosurgery 4183517105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Wayne State University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Olma Specialty Services LLCGroup PAC ID 8426464884, 42 clinicians

Practice addresses (Care Compare)

1854 W Auburn Rd
Rochester Hills, MI 48309-3868

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-2270

5315 Elliott Dr
201 Trinity Health Iha Medical Group Hepato
Ypsilanti, MI 48197-8634
Phone (248) 287-7820

Hospital & facility affiliations

  • Trinity Health at Home- Southeast Michigan Home health agency, Livonia, MI, CCN 237069
  • Custom Home Health Home health agency, Troy, MI, CCN 237707
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion263
Laminectomy or laminotomy (partial removal of spine bones)62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301404978MIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Olma Specialty Services LLC Current Accepting new patients
SJMH Medical Practice-SMHC CurrentSince Jan 1, 2016 Accepting new patients
Iha Olma Specialty Services LLC Neurological Surgery CurrentSince Oct 1, 2023 Accepting new patients
SJMH Medical Practice-SMHC CurrentSince Jan 1, 2016 Accepting new patients
St Joseph Mercy Hospital-SMHC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Surgical Assist, PLC PastSince Jan 4, 2016 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

7650 Dixie Hwy
Ste 140
Clarkston, MI 48346
Phone (248) 922-5617

44555 Woodward Ave
Ste 506
Pontiac, MI 48341
Phone (248) 334-2568

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

44555 Woodward Ave
Ste 305
Pontiac, MI 48341
Phone (248) 858-3812

1854 W Auburn Rd
Ste 100B
Rochester Hills, MI 48309
Phone (248) 218-9260

Interoperability endpoints

  • Direct secure messaging: lrapp36281@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124008842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 DIXIE HWY",
            "address_2": "SUITE 140",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462078",
            "telephone_number": "248-620-9310",
            "fax_number": "248-620-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 DIXIE HWY",
            "address_2": "SUITE 140",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462078",
            "telephone_number": "248-620-9310",
            "fax_number": "248-620-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPP",
        "first_name": "LAWRENCE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301404978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MICHIGAN",
            "identifier": "0992212",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "140005777",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "700F318300",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE HEALTH PLAN",
            "identifier": "000000003417",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS",
            "identifier": "0004632168",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "C5501",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES",
            "identifier": "104339",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3439520",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.