Active NPI
David A Patrick, DO
- Diagnostic Radiology Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5101011343
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 205-4911
- NPI assigned
- Jul 19, 2006
- Last updated
- May 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 5101011343 | MI | Primary |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806
Other practice location 1
4660 S Hagadorn Rd Ste 510
East Lansing, MI 48823-6805
Phone (517) 884-7450
Other practice location 2
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7272
Other practice location 3
4660 S Hagadorn Rd Ste 410
East Lansing, MI 48823-6819
Phone (517) 353-5053
Other practice location 4
3220 Discovery Dr Ste 100
Lansing, MI 48910-8609
Phone (517) 975-8950
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Michigan State University College of Human Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1187 Eastmont Dr SE
Grand Rapids, MI 49546-3737
Phone (616) 363-7272
4660 S Hagadorn Rd
Suite 410
East Lansing, MI 48823-6819
Phone (517) 353-5053
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101011343 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.a. Foote Memorial Hospital | Current | Accepting new patients | |
| Msu Health Care Inc. | Diagnostic Radiology | Current | Accepting new patients |
| W.a. Foote Memorial Hospital | Current | Accepting new patients | |
| Msu Health Care Inc. | Current | Accepting new patients | |
| Msu Health Care Inc | Current | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients | |
| Lansing Radiology Associates P C | Diagnostic Radiology | Past | Accepting new patients |
Locations
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-4806
4650 S Hagadorn Rd
Ste 100
East Lansing, MI 48823
Phone (517) 353-4830
4660 S Hagadorn Rd
Ste 410
East Lansing, MI 48823
Phone (517) 884-6132
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
4660 S Hagadorn Rd
Ste 510
East Lansing, MI 48823
Phone (517) 884-7450
804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930
Organizations & group practices 9
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.
-
- Allergy & Immunology Physician
- East Lansing, MI
- NPI 1700418670
-
- Diagnostic Radiology Physician
- Grand Rapids, MI
- NPI 1740283324
-
dba Henry Ford Allegiance Health
- Internal Medicine Physician
- Jackson, MI
- NPI 1831123728
-
- Diagnostic Radiology Physician
- East Lansing, MI
- NPI 1275165052
-
- Physical Therapist
- East Lansing, MI
- NPI 1689206419
-
- Vascular & Interventional Radiology Physician
- Jackson, MI
- NPI 1194245472
-
dba Henry Ford Allegiance Health
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
- Diagnostic Radiology Physician
- Lansing, MI
- NPI 1669425658
-
dba Memorial Medical Associates
- Anesthesiology Physician
- Owosso, MI
- NPI 1659527737
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Battle Creek, MI
- NPI 1083644579
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
dba University of Michigan Health-Sparrow Lansing
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
dba Thoracic Cardiovascular Institute
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1184643025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORD PL STE 3A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023450",
"telephone_number": "313-874-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-205-4911"
}
],
"practiceLocations": [
{
"address_1": "4660 S Hagadorn Rd Ste 510",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488236805",
"country_code": "US",
"telephone_number": "517-884-7450",
"fax_number": "517-884-7460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3264 N Evergreen Dr NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495259746",
"country_code": "US",
"telephone_number": "616-363-7272",
"fax_number": "616-363-7290",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4660 S Hagadorn Rd Ste 410",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488236819",
"country_code": "US",
"telephone_number": "517-353-5053",
"fax_number": "517-884-6236",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3220 Discovery Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489108609",
"country_code": "US",
"telephone_number": "517-975-8950",
"fax_number": "517-337-4985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATRICK",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "5101011343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.