Individual provider Active NPI

Eleanore Ranilde Kue, MD

  • Occupational Medicine Physician
  • Lansing, MI
National Provider Identifier
1265547731
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
4301073064 Issued in MI
Practice address
306 S Creyts Rd
Lansing, MI 48917-8289
Phone
(517) 321-2780
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 4301073064 MI Primary

Addresses

Primary practice location

306 S Creyts Rd
Lansing, MI 48917-8289

Mailing address

973 Ottawa Ave NW
Grand Rapids, MI 49503-1431
Phone (616) 391-7752

Other names 1

  • Eleanore Ranilde Tsemo Former name

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
I20071113000642 MI Practitioner - Family PracticePractitioner - Preventive Medicine 6800984584 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301073064MIMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
His Healing Hands Urgent Care Center Inc CurrentSince Sep 14, 2009 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Dec 1, 2018 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

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

2025 W Holmes Rd
Lansing, MI 48910
Phone (517) 347-8231

716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1265547731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 OTTAWA AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031431",
            "telephone_number": "616-391-7752",
            "fax_number": "616-391-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S CREYTS RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178289",
            "telephone_number": "517-321-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUE",
        "first_name": "ELEANORE",
        "middle_name": "RANILDE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MI",
            "license": "4301073064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELEANORE",
            "last_name": "TSEMO",
            "middle_name": "RANILDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.