Individual provider Active NPI

Ryan Hart, D.O.

  • Emergency Medicine Physician
  • Lansing, MI
National Provider Identifier
1154550721
Registry record updated Jul 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101018223 Issued in MI
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(517) 364-2583
NPI assigned
Jul 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101018223 MI Primary

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-2583

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
I20110811000835 MI Practitioner - Emergency Medicine 0042489825 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawk Emergency Group, P.C.Group PAC ID 6800241050, 55 clinicians
Caberfae Emergency Group PCGroup PAC ID 4082069232, 39 clinicians

Practice addresses (Care Compare)

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

Hospital & facility affiliations

  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081
  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018223MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dickinson County Healthcare System CurrentSince Nov 1, 2016 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jul 8, 2013 Accepting new patients
Hawk Emergency Group, P.C. Emergency Medicine CurrentSince Dec 13, 2023 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jul 8, 2013 Accepting new patients
Caberfae Emergency Group, P.C. Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients

Locations

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

1010 Olive Ave
Florence, WI 54121
Phone (715) 528-4775

Organizations & group practices 5

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 3

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": "1246665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246665600000",
    "number": "1154550721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "517-364-2583"
        },
        {
            "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": "517-364-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-04",
        "last_updated": "2009-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101018223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.