Individual provider Active NPI

Priti Pathak, MD

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1245321454
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301069352 Issued in MI
Practice address
2316 S Cedar St
Lansing, MI 48910-3152
Phone
(517) 887-4302
Fax
(517) 887-4625
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 4301069352 MI Primary

Addresses

Primary practice location

2316 S Cedar St
Lansing, MI 48910-3152

Mailing address

PO Box 30161
Lansing, MI 48909-7661
Phone (517) 887-4302

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
I20080927000175 MI Practitioner - Family Practice 5193892404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of InghamGroup PAC ID 7810899622, 21 clinicians

Practice addresses (Care Compare)

2316 S Cedar St
Forest Cmty HTH Ctr
Lansing, MI 48910-3152
Phone (517) 887-4302

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ingham CurrentSince Oct 4, 2025 Accepting new patients
Medical Ambulatory Services for Health PC Past Accepting new patients

Locations

1601 E Kalamazoo St
Lansing, MI 48912
Phone (517) 679-2880

812 E Jolly Rd
Ste 112
Lansing, MI 48910
Phone (514) 346-8380

5303 S Cedar St
Lansing, MI 48911
Phone (517) 887-4302

2316 S Cedar St
Lansing, MI 48910
Phone (517) 702-4130

1115 S Pennsylvania Ave
Lansing, MI 48912
Phone (517) 346-4700

812 E Jolly Rd
Lansing, MI 48910
Phone (517) 237-7162

102 McPherson Ave
Lansing, MI 48915
Phone (517) 244-8041

Interoperability endpoints

  • Direct secure messaging: priti.pathak.p1@direct.ichd.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1245321454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30161",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489097661",
            "telephone_number": "517-887-4302",
            "fax_number": "517-887-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103152",
            "telephone_number": "517-887-4302",
            "fax_number": "517-887-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "PRITI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301069352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.