Individual provider Active NPI

Erik David Lindstrom, M.D.

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1265793590
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301100878 Issued in MI
Practice address
3601 W Front St
Traverse City, MI 49684-8151
Phone
(231) 946-1120
Fax
(231) 946-8943
NPI assigned
Jun 4, 2012
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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 4301100878 MI Primary

Addresses

Primary practice location

3601 W Front St
Traverse City, MI 49684-8151

Mailing address

3601 W Front St
Traverse City, MI 49684-8151
Phone (231) 946-1120

Other identifiers 1

IdentifierTypeStateIssuer
1265793590MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address erik.lindstrom@pifp.eclinicaldirectplus.com Health Information Exchange (HIE) Partners in Family Practice, P.C.
Direct Messaging Address erik.lindstrom@pifp.eclinicaldirectplus.com

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
I20150602000403 MI Practitioner - Family Practice 3779804893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Medical GroupGroup PAC ID 8820277015, 191 clinicians
Partners in Family Practice PCGroup PAC ID 7719990738, 3 clinicians

Practice addresses (Care Compare)

1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone (231) 935-8000

3601 W Front St
Traverse City, MI 49684-8151
Phone (231) 946-1120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301100878MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Munson Medical Group CurrentSince Jan 1, 2020 Accepting new patients
Munson Medical Group Current Accepting new patients
Munson Medical Group Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Munson Medical Center CurrentSince Jul 29, 2017 Accepting new patients
Munson Medical Center Family Medicine CurrentSince Jul 29, 2017 Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1200 Sixth St
Ste 200
Traverse City, MI 49684

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIDGCA/Endpoint/DIDGCA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1265793590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848151",
            "telephone_number": "231-946-1120",
            "fax_number": "231-946-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848151",
            "telephone_number": "231-946-1120",
            "fax_number": "231-946-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTROM",
        "first_name": "ERIK",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301100878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265793590",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erik.lindstrom@pifp.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Trust Address",
            "affiliationName": "Partners in Family Practice, P.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3601 W Front St",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496848151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erik.lindstrom@pifp.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3601 W Front St",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496848151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.