NPIMap

Individual provider Active NPI

Jeffery Martin Uitvlugt, D.O

  • Orthopaedic Surgery Physician
  • Lansing, MI
National Provider Identifier
1245594027
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101019752 Issued in MI
Practice address
3394 E Jolly Rd Ste a
Lansing, MI 48910
Phone
(517) 394-3200
Fax
(517) 394-4250
NPI assigned
Jun 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101019752 MI Primary

Addresses

Primary practice location

3394 E Jolly Rd Ste a
Lansing, MI 48910

Mailing address

3394 E Jolly Rd Ste a
Lansing, MI 48910-8595
Phone (517) 394-3200

Other practice location 1

6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 421-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170710003078 MI Practitioner - Orthopedic Surgery 6103136320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3394 E Jolly Rd a
SMG Orthopedics and Sport Medicine
Lansing, MI 48910-8595
Phone (517) 394-3200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement15
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W. Sparrow Hospital Association Orthopaedic Surgery CurrentSince Sep 1, 2020 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Sep 1, 2020 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2900 Hannah Blvd
Ste B102
East Lansing, MI 48823
Phone (517) 364-8050

3394 E Jolly Rd
Ste 4
Lansing, MI 48910

3394 E Jolly Rd
Ste A
Lansing, MI 48910
Phone (517) 253-5100

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

Interoperability endpoints

  • Direct secure messaging: juitvlugt56323@sparrowdirecthie.org

Organizations & group practices 4

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 4

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1245594027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3394 E JOLLY RD STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108595",
            "telephone_number": "517-394-3200",
            "fax_number": "517-394-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 E JOLLY RD STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48910",
            "telephone_number": "517-394-3200",
            "fax_number": "517-394-4250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6245 Inkster Rd",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "MI",
            "postal_code": "481354001",
            "country_code": "US",
            "telephone_number": "734-421-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UITVLUGT",
        "first_name": "JEFFERY",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101019752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.