Msu Health Care Inc
Organization Active NPI Internal Medicine Physician · East Lansing, MI
NPI 1194357152 · NPPES record last updated Jan 23, 2023
Key facts
- NPI
- 1194357152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- MSU HEALTH CARE INC
- Practice address
- 4650 S Hagadorn Rd Ste 100
East Lansing, MI 48823-5386 - Phone
- (517) 353-4941
- Fax
- (517) 432-3145
- NPI assigned
- Feb 7, 2020
- Organization subpart
- No
Authorized official
- Name
- Relanda Price
- Title
- Lead Enrollment Coordinator
- Phone
- (517) 884-2976
Other NPIs on the same Medicare enrollment 28
Practitioners 8
-
Ayushma Duwadi, MD
-
Lindsey Ford, NP
-
Ratna Joshi, MD
-
Aaron Nichols, MD
-
Sumugdha Rayamajhi, M.D.
-
Prakash Khanal, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200518002744 | MI | Part B Supplier - Clinic/Group Practice | 8628404936 |
Receives reassigned benefits from 378 practitioners 28 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: East Lansing, MI; Holt, MI; Lansing, MI; Novi, MI; Okemos, MI; Brighton, MI; Clinton Township, MI; Dimondale, MI |
National Provider Directory
Locations
4650 S Hagadorn Rd
East Lansing, MI 48823
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
4650 S Hagadorn Rd Ste 100
East Lansing, MI 48823-5386
Mailing address
804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 353-4941
Other providers in East Lansing, MI
- Jacque D Moss
- Jason Roy Mott
- Todd A Moyer-Brailean
- Msu Health Care Inc
- Msu Health Care Inc
- Msu Health Care Inc
- Msu Health Care Inc
- Msu Health Care Inc
- Msu Health Care Inc
- Msu Health Care Inc
All providers in East Lansing, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.