Active NPI
Andrew M Duda, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 4301062545
- Practice address
- 405 W Greenlawn Ave
Ste 305
Lansing, MI 48910-2898 - Phone
- (517) 483-4780
- Fax
- (517) 483-4862
- NPI assigned
- Jul 13, 2005
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 4301062545 | MI | Primary |
Addresses
Primary practice location
405 W Greenlawn Ave
Ste 305
Lansing, MI 48910-2898
Mailing address
405 W Greenlawn Ave
Suite 305
Lansing, MI 48910-2898
Phone (517) 483-7546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124026075 | Medicaid | MI |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Truhlsen Chiropractic, S.C. | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
3500 S Cedar St
Ste 116
Lansing, MI 48910
916 Mall Dr E
Lansing, MI 48917
Phone (517) 322-0894
405 W Greenlawn Ave
Ste 130
Lansing, MI 48910
Phone (517) 267-2236
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
1200 E Michigan Ave
Ste 775
Lansing, MI 48912
Phone (517) 364-5160
1140 E Michigan Ave
Ste 400
Lansing, MI 48912
Phone (517) 483-7550
405 W Greenlawn Ave
Ste 400
Lansing, MI 48910
Phone (517) 483-7541
405 W Greenlawn Ave
Ste 305
Lansing, MI 48910
Phone (517) 483-4780
1140 E Michigan Ave
Ste 40
Lansing, MI 48912
Phone (517) 483-7550
3301 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 364-8600
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
Interoperability endpoints
- aduda72947@sparrowdirecthie.org
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.
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lansing, MI
- NPI 1033162326
-
- Chiropractor
- Dresser, WI
- NPI 1194934521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1124026075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W GREENLAWN AVE",
"address_2": "SUITE 305",
"city": "LANSING",
"state": "MI",
"postal_code": "489102898",
"telephone_number": "517-483-7546",
"fax_number": "517-483-4862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W GREENLAWN AVE",
"address_2": "STE 305",
"city": "LANSING",
"state": "MI",
"postal_code": "489102898",
"telephone_number": "517-483-4780",
"fax_number": "517-483-4862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDA",
"first_name": "ANDREW",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MI",
"license": "4301062545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124026075",
"state": "MI"
}
],
"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 Jul 1, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.