Active NPI
Robert C Smith, M.D.
- Internal Medicine Physician
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301049026
- Practice address
- 138 Service Rd
Suite A225
East Lansing, MI 48824-1376 - Phone
- (517) 353-4941
- Fax
- (517) 432-3145
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301049026 | MI | Primary |
Addresses
Primary practice location
138 Service Rd
Suite A225
East Lansing, MI 48824-1376
Mailing address
B338 Clinical Center
Department of Medicine
East Lansing, MI 48824
Phone (517) 432-9124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659730 | Medicaid | MI |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301049026 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan State University | Internal Medicine | Current | Accepting new patients |
| Michigan State University | Current | Accepting new patients |
Locations
138 Service Rd
Ste A225
East Lansing, MI 48824
Phone (517) 353-4941
4650 S Hagadorn Rd
Ste 100
East Lansing, MI 48823
Phone (517) 353-4830
138 Service Rd
East Lansing, MI 48824
Phone (517) 353-3050
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
804 Service Rd
#A109F
East Lansing, MI 48824
Phone (517) 884-2976
1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460
2727 S Pennsylvania Ave
Lansing, MI 48910
Phone (517) 975-3750
1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560
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.
-
- Family Medicine Physician
- East Lansing, MI
- NPI 1861443269
Internal Medicine
-
- Local Education Agency (LEA)
- East Lansing, MI
- NPI 1184182982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1194823534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "B338 CLINICAL CENTER",
"address_2": "DEPARTMENT OF MEDICINE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "48824",
"telephone_number": "517-432-9124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 SERVICE RD",
"address_2": "SUITE A225",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488241376",
"telephone_number": "517-353-4941",
"fax_number": "517-432-3145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301049026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659730",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.