NPIMap

Individual provider Active NPI

Cameron Hanberg, DO

  • Diagnostic Radiology Physician
  • Lansing, MI
National Provider Identifier
1164952883
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5151011561 Issued in MI
Practice address
1200 E Michigan Ave
Lansing, MI 48912-1800
Phone
(517) 364-2315
NPI assigned
Jun 14, 2017
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5151011561 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave
Lansing, MI 48912-1800

Mailing address

2799 W Grand Blvd
Detroit, MI 48202-2608

Other practice location 1

840 Oakwood Blvd
Dearborn, MI 48124-2319
Phone (313) 359-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220525001629 MI Practitioner - Diagnostic Radiology 6800155151 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rocky Vista University College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1215 E Michigan Ave
Unitversity of Michigan Health Spar
Lansing, MI 48912-1811
Phone (517) 364-5650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151011561MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2024 Accepting new patients
Henry Ford Health System Diagnostic Radiology CurrentSince May 24, 2022 Accepting new patients
Edward W Sparrow Hospital Association Current Accepting new patients
Lansing Radiology Associates P C Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Henry Ford Health System CurrentSince May 24, 2022 Accepting new patients
Oakwood Healthcare Inc Past Accepting new patients

Locations

4748 Reliable Pkwy
Chicago, IL 60686

8175 Reliable Pkwy
Chicago, IL 60686

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1200 E Michigan Ave
Lansing, MI 48912
Phone (517) 267-2460

1200 E Michigan Ave
Fl 1
Lansing, MI 48912

1200 E Michigan Ave
Ste 500
Lansing, MI 48912
Phone (517) 364-5123

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

1215 E Michigan Ave
Fl 4
Lansing, MI 48912
Phone (517) 364-3480

2289 W Grand River Ave
Okemos, MI 48864
Phone (517) 349-2300

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

Interoperability endpoints

  • Direct secure messaging: chanberg782188@direct.hfhs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1164952883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-364-2315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242319",
            "country_code": "US",
            "telephone_number": "313-359-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANBERG",
        "first_name": "CAMERON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5151011561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.