Individual provider Active NPI

Michael Bradley Shingles, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • East Lansing, MI
National Provider Identifier
1164466223
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
5101012993 Issued in MI
Practice address
4660 S Hagadorn Rd
Suite 420
East Lansing, MI 48823-5376
Phone
(517) 884-6100
Fax
(517) 884-6233
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 5101012993 MI Primary

Addresses

Primary practice location

4660 S Hagadorn Rd
Suite 420
East Lansing, MI 48823-5376

Mailing address

804 Service Rd # A201
East Lansing, MI 48824-7015
Phone (517) 884-2976

Other identifiers 2

IdentifierTypeStateIssuer
1164466223MedicaidMI
4322272MedicaidMI

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
I20050425001167 MI Practitioner - Orthopedic Surgery 7113966631 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, shared by 20 NPIs, 698 clinicians

Practice addresses (Care Compare)

2900 Hannah Blvd
East Lansing, MI 48823-5384
Phone (517) 364-8070

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101012993MIMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Sep 1, 2015 Accepting new patients
Edward W. Sparrow Hospital Association Orthopaedic Surgery CurrentSince Jan 1, 2022 Accepting new patients
Michigan State University Current Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Sep 1, 2015 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

4660 S Hagadorn Rd
Ste 310
East Lansing, MI 48823
Phone (517) 364-8890

2900 Hannah Blvd
Ste B102
East Lansing, MI 48823
Phone (517) 364-8050

2900 Hannah Blvd
Ste 104
East Lansing, MI 48823
Phone (517) 364-8000

463 E Circle Dr
Rm 102
East Lansing, MI 48824
Phone (517) 884-6546

4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823
Phone (517) 884-6100

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

2900 Hannah Blvd
East Lansing, MI 48823
Phone (517) 336-4520

5668 Okemos Rd
Haslett, MI 48840
Phone (517) 256-6870

3394 E Jolly Rd
Ste A
Lansing, MI 48910
Phone (517) 253-5100

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

Organizations & group practices 6

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 2

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1164466223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD # A201",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-884-2976",
            "fax_number": "517-432-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S HAGADORN RD",
            "address_2": "SUITE 420",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235376",
            "telephone_number": "517-884-6100",
            "fax_number": "517-884-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINGLES",
        "first_name": "MICHAEL",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "5101012993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164466223",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4322272",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.