Individual provider Active NPI

Yakov M Sigal, M.D.

  • Pediatrics Physician
  • East Lansing, MI
National Provider Identifier
1285733162
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301068787 Issued in MI
Practice address
A110 Clinical Ctr
East Lansing, MI 48824-1313
Phone
(517) 353-3003
Fax
(517) 353-5514
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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 4301068787 MI Primary

Addresses

Primary practice location

A110 Clinical Ctr
East Lansing, MI 48824-1313

Mailing address

B240 Life Sciences BLDG
Dept of Pediatrics & Human Medicine
East Lansing, MI 48824
Phone (517) 355-3308

Other identifiers 2

IdentifierTypeStateIssuer
1285733162MedicaidMI
4112972MedicaidMI

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
I20050106000526 MI Practitioner - Pediatric Medicine 6406804426 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301068787MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Pediatrics CurrentSince Jan 2, 2012 Accepting new patients
Michigan State University Current Accepting new patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
County of Ingham Current Accepting new patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
County of Ingham CurrentSince Aug 31, 2009 Accepting new patients
Michigan State University Pediatrics CurrentSince Nov 10, 2011 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jan 2, 2012 Accepting new patients
Michigan State University Current Accepting new patients
Michigan State University CurrentSince Nov 10, 2011 Accepting new patients
Capital Area Pathologists, PC Current Accepting new patients
Michigan State University Current Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

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

804 Service Rd
Rm A217
East Lansing, MI 48824
Phone (517) 353-8122

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

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

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

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

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

1200 E Michigan Ave
Ste 460
Lansing, MI 48912
Phone (517) 364-2097

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

Interoperability endpoints

  • Direct secure messaging: yakov.sigal.p1@direct.ichd.nextgenshare.com
  • Direct secure messaging: yakov.sigal.1@25394.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1285733162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B240 LIFE SCIENCES BLDG",
            "address_2": "DEPT OF PEDIATRICS & HUMAN MEDICINE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48824",
            "telephone_number": "517-355-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A110 CLINICAL CTR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488241313",
            "telephone_number": "517-353-3003",
            "fax_number": "517-353-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGAL",
        "first_name": "YAKOV",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301068787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285733162",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4112972",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.