Individual provider Active NPI

Andrew M Duda, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lansing, MI
National Provider Identifier
1124026075
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
4301062545 Issued in MI
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

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1124026075MedicaidMI

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
I20060131000102 MI Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology) 9133100498 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W. Sparrow Hospital Association Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 25, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.