Individual provider Active NPI

Peter D Cotey, D.O.

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1174708622
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101011399 Issued in MI
Practice address
Lansing VA Cboc
2025 S Washington Ave
Lansing, MI 48910
Phone
(517) 267-3925
Fax
(517) 267-3593
NPI assigned
Jan 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101011399 MI Primary

Addresses

Primary practice location

Lansing VA Cboc
2025 S Washington Ave
Lansing, MI 48910

Mailing address

9424 W Scenic Lake Dr
Laingsburg, MI 48848-9749
Phone (517) 651-1403

Other practice location 1

9424 W Scenic Lake Dr
Laingsburg, MI 48848-9749
Phone (517) 651-1403

Other identifiers 1

IdentifierTypeStateIssuer
4131403MedicaidMI

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
I20220826000458 MI Order and Referring Only - Family PracticePractitioner - Family Practice 3274616040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101011399MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul N Deweese MD PLC Past Accepting new patients
Memorial Hospital Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1174708622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9424 W SCENIC LAKE DR",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488489749",
            "telephone_number": "517-651-1403",
            "fax_number": "517-267-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LANSING VA CBOC",
            "address_2": "2025 S WASHINGTON AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48910",
            "telephone_number": "517-267-3925",
            "fax_number": "517-267-3593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9424 W Scenic Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Laingsburg",
            "state": "MI",
            "postal_code": "488489749",
            "country_code": "US",
            "telephone_number": "517-651-1403",
            "fax_number": "517-651-1403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTEY",
        "first_name": "PETER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-03",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101011399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4131403",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.