Individual provider Active NPI

Manuel E Garcia, MD

  • Internal Medicine Physician
  • East Lansing, MI
National Provider Identifier
1154379527
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301071864 Issued in MI
Practice address
3496 E Lake Lansing Rd
Ste. 160
East Lansing, MI 48823-2288
Phone
(517) 336-1200
Fax
(517) 336-1202
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301071864 MI Primary

Addresses

Primary practice location

3496 E Lake Lansing Rd
Ste. 160
East Lansing, MI 48823-2288

Mailing address

3496 E Lake Lansing Rd
Ste. 160
East Lansing, MI 48823-2288
Phone (517) 336-1200

Other identifiers 6

IdentifierTypeStateIssuer
4823787MedicaidMI
1598712390OtherMIGROUP NPI
4823811MedicaidMI
4823820MedicaidMI
4823849MedicaidMI
1103312302OtherMIBCBS

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
I20040601000152 MI Practitioner - Internal MedicinePractitioner - Dermatology 0143201566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Dermatology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mesohealth PCGroup PAC ID 1658379318, 3 clinicians

Practice addresses (Care Compare)

3496 E Lake Lansing Rd
Suite 160
East Lansing, MI 48823-6222
Phone (517) 336-1200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301071864MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mesohealth, PC CurrentSince Nov 14, 2006 Accepting new patients
Decatur Vein Clinic, Michigan, PC Past Accepting new patients
Spectrum Health Hospitals Past Accepting new patients
Inpatient Medical Specialists, PLC Internal Medicine Past Accepting new patients

Locations

3496 E Lake Lansing Rd
Ste 160
East Lansing, MI 48823
Phone (517) 336-1200

3496 E Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 333-0968

Interoperability endpoints

  • Direct secure messaging: manuelgarcia@directaddress.net

Organizations & group practices 4

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1154379527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3496 E LAKE LANSING RD",
            "address_2": "STE. 160",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232288",
            "telephone_number": "517-336-1200",
            "fax_number": "517-336-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3496 E LAKE LANSING RD",
            "address_2": "STE. 160",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232288",
            "telephone_number": "517-336-1200",
            "fax_number": "517-336-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MANUEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301071864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4823787",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1598712390",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4823811",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4823820",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4823849",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1103312302",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.