NPIMap

Organization Active NPI

Vituity - Michigan Em PC

Doing business as Vituity

  • Emergency Medicine Physician
  • Lansing, MI
National Provider Identifier
1144892332
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
VITUITY - MICHIGAN EM PC
Doing business as
Vituity
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(517) 364-1000
NPI assigned
Jul 15, 2021
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
David Birdsall, M.DNPI 1164445615
Title
Treasurer and Secretary
Phone
(510) 350-2759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

2100 Powell St Ste 400
Emeryville, CA 94608-1872
Phone (510) 851-7411

Other practice location 1

2446 Jolly Rd
Okemos, MI 48864
Phone (517) 253-5500

Other practice location 2

3565 S State Rd
Ionia, MI 48846-9416
Phone (616) 523-1400

Other practice location 3

321 E Harris St
Charlotte, MI 48813-1629
Phone (517) 543-1050

Other names 1

  • Vituity Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210830002859 MI Part B Supplier - Clinic/Group Practice 8022414010 Receives reassigned benefits from 149 practitioners
Practice locations: Charlotte, MI; Okemos, MI; Ionia, MI; Lansing, MI

National Provider Directory

National Provider Directory

Locations

2446 Jolly Rd
Okemos, MI 48864
Phone (517) 253-5500

Practitioners & affiliated clinicians

Practitioners 153

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 153

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1144892332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081872",
            "telephone_number": "510-851-7411"
        },
        {
            "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": "517-364-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2446 Jolly Rd",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "48864",
            "country_code": "US",
            "telephone_number": "517-253-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3565 S State Rd",
            "address_purpose": "LOCATION",
            "city": "Ionia",
            "state": "MI",
            "postal_code": "488469416",
            "country_code": "US",
            "telephone_number": "616-523-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 E Harris St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "MI",
            "postal_code": "488131629",
            "country_code": "US",
            "telephone_number": "517-543-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITUITY - MICHIGAN EM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "BIRDSALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "TREASURER AND SECRETARY",
        "authorized_official_telephone_number": "510-350-2759",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vituity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.