Individual provider Active NPI

Emily Anne Disbrow, M.D.

  • Pediatrics Physician
  • Lansing, MI
National Provider Identifier
1275983322
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301117182 Issued in MI
Practice address
13750 S Sedona Pkwy
Lansing, MI 48906-8101
Phone
(517) 353-4000
Fax
(844) 722-4112
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301117182 MI Primary

Addresses

Primary practice location

13750 S Sedona Pkwy
Lansing, MI 48906-8101

Mailing address

804 Service Rd Ste A202
East Lansing, MI 48824-7015
Phone (517) 353-4000

Other practice location 1

1600 W Grand River Ave Ste 2
Okemos, MI 48864-2394
Phone (517) 349-6560

Other practice location 2

1200 E Michigan Ave Ste 145
Lansing, MI 48912-1897
Phone (517) 364-5440

Other practice location 3

5303 S Cedar St
Lansing, MI 48911-3800
Phone (517) 887-4305

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
I20200730001265 MI Practitioner - Pediatric Medicine 0446545040 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Msu Health Care Inc Current Accepting new patients
Msu Health Care Inc Pediatrics CurrentSince Jul 1, 2020 Accepting new patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
County of Ingham Past Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

13750 S Sedona Pkwy
Ste 2
Lansing, MI 48906
Phone (517) 353-4000

1200 E Michigan Ave
Ste 145
Lansing, MI 48912
Phone (517) 364-5440

1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560

Interoperability endpoints

  • Direct secure messaging: emily.disbrow.1@25394.direct.athenahealth.com
  • Direct secure messaging: emily.disbrow.p1@direct.ichd.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/13693/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1275983322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A202",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-4000",
            "fax_number": "844-722-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 S SEDONA PKWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489068101",
            "telephone_number": "517-353-4000",
            "fax_number": "844-722-4112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W Grand River Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488642394",
            "country_code": "US",
            "telephone_number": "517-349-6560",
            "fax_number": "517-349-5796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 E Michigan Ave Ste 145",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121897",
            "country_code": "US",
            "telephone_number": "517-364-5440",
            "fax_number": "517-364-5409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5303 S Cedar St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489113800",
            "country_code": "US",
            "telephone_number": "517-887-4305",
            "fax_number": "517-887-4310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISBROW",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301117182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.