Active NPI
Vida HB Klott, MPAS, PAC
- Physician Assistant
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601004563
- Practice address
- 6465 Millennium Ste 100
Lansing, MI 48917-7831 - Phone
- (517) 975-3720
- Fax
- (517) 323-7633
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601004563 | MI | Primary |
Addresses
Primary practice location
6465 Millennium Ste 100
Lansing, MI 48917-7831
Mailing address
6465 Millennium Ste 100
Lansing, MI 48917-7831
Phone (517) 975-3720
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N77190003 | Other | MI | MEDICARE PIN |
| 0N77190 | Other | MI | GROUP MEDICARE PIN |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12805 Escanaba Dr
Suite 1
Dewitt, MI 48820-8628
Phone (517) 913-3930
1500 Spring St
Petoskey, MI 49770-9295
Phone (888) 408-7008
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601004563 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| McLaren Medical Group | Current | Accepting new patients | |
| Bosworth Urgent Care PC | Current | Accepting new patients | |
| McLaren Greater Lansing | Physician Assistant | Current | Accepting new patients |
| Wa Foote Memorial Hospital, Inc | Physician Assistant | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Physician Assistant | Current | Accepting new patients |
| McLaren Greater Lansing | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Exclusive Physicians PLLC | Past | Accepting new patients | |
| Edward W Sparrow Hospital Association | Past | Accepting new patients |
Locations
39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880
12805 Escanaba Dr
Ste 2
Dewitt, MI 48820
Phone (517) 367-5520
21501 Kelly Rd
Eastpointe, MI 48021
Phone (586) 498-9200
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
3499 S Linden Rd
Ste 2
Flint, MI 48507
Phone (810) 820-8121
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
6465 Millennium
Ste 100
Lansing, MI 48917
Phone (517) 975-3720
130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500
2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085
1881 W Grand River Ave
Okemos, MI 48864
Phone (517) 339-2100
500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
Interoperability endpoints
- vida.klott.1@33060.direct.athenahealth.com
Organizations & group practices 15
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.
-
- Family Medicine Physician
- Lapeer, MI
- NPI 1346396066
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
MI
-
- Urgent Care Clinic/Center
- Okemos, MI
- NPI 1275746091
-
- Family Medicine Physician
- Okemos, MI
- NPI 1972878452
-
- Family Medicine Physician
- Troy, MI
- NPI 1578969705
-
- Family Medicine Physician
- Portage, MI
- NPI 1669091864
-
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
-
- Family Medicine Physician
- Troy, MI
- NPI 1336153295
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
- Family Medicine Physician
- Jackson, MI
- NPI 1215974332
Physician Assistant
Hospital & facility affiliations 3
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
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1144326737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6465 MILLENNIUM STE 100",
"city": "LANSING",
"state": "MI",
"postal_code": "489177831",
"telephone_number": "517-975-3720",
"fax_number": "517-323-7633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6465 MILLENNIUM STE 100",
"city": "LANSING",
"state": "MI",
"postal_code": "489177831",
"telephone_number": "517-975-3720",
"fax_number": "517-323-7633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOTT",
"first_name": "VIDA",
"middle_name": "HB",
"name_prefix": "Mrs.",
"credential": "MPAS, PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601004563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "N77190003",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PIN",
"identifier": "0N77190",
"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 Oct 17, 2023; 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.