Organization Active NPI

Richard a. Pittsley, M.D., P.C.

  • Rheumatology Physician
  • East Lansing, MI
National Provider Identifier
1154412484
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
RP040011 Issued in MI
Legal business name
RICHARD A. PITTSLEY, M.D., P.C.
Practice address
1401 E Lansing Dr
Suite 107
East Lansing, MI 48823-7787
Phone
(517) 351-8881
Fax
(517) 351-8883
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Dr. Richard Allen Pittsley, M.D.NPI 1902821671
Title
Owner
Phone
(517) 351-8881

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X RP040011 MI Primary

Addresses

Primary practice location

1401 E Lansing Dr
Suite 107
East Lansing, MI 48823-7787

Mailing address

1401 E Lansing Dr
Suite 107
East Lansing, MI 48823-7787
Phone (517) 351-8881

Other identifiers 1

IdentifierTypeStateIssuer
1623639MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111129000325 MI Part B Supplier - Clinic/Group Practice 2769656883 Receives reassigned benefits from 2 practitioners
Practice locations: East Lansing, MI; Lansing, MI

National Provider Directory

National Provider Directory

Locations

1401 E Lansing Dr
Ste 107
East Lansing, MI 48823
Phone (517) 351-8881

1401 E Lansing Dr
East Lansing, MI 48823

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1154412484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E LANSING DR",
            "address_2": "SUITE 107",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237787",
            "telephone_number": "517-351-8881",
            "fax_number": "517-351-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E LANSING DR",
            "address_2": "SUITE 107",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237787",
            "telephone_number": "517-351-8881",
            "fax_number": "517-351-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. PITTSLEY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "PITTSLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-351-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "RP040011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1623639",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.