Individual provider Active NPI

Kenneth Alan Schwartz, M.D.

  • Hematology & Oncology Physician
  • Lansing, MI
National Provider Identifier
1316974405
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301032685 Issued in MI
Practice address
401 W Greenlawn Ave
Msu Breslin Hematology/Onclology Clinic
Lansing, MI 48910-2819
Phone
(517) 975-9500
Fax
(517) 975-9511
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4301032685 MI Primary

Addresses

Primary practice location

401 W Greenlawn Ave
Msu Breslin Hematology/Onclology Clinic
Lansing, MI 48910-2819

Mailing address

B338 Clinical Center
Department of Medicine
East Lansing, MI 48824-1313
Phone (517) 432-9124

Other identifiers 1

IdentifierTypeStateIssuer
1344730MedicaidMI

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
I20100602000945 MI Practitioner - Hematology/Oncology 1850420746 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301032685MIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan State University CurrentSince Feb 1, 2002 Accepting new patients
Michigan State University CurrentSince Feb 1, 2002 Accepting new patients
Michigan State University Current Accepting new patients

Locations

138 Service Rd
Rm A204
East Lansing, MI 48824
Phone (517) 334-2524

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

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

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

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1316974405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B338 CLINICAL CENTER",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488241313",
            "telephone_number": "517-432-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W GREENLAWN AVE",
            "address_2": "MSU BRESLIN HEMATOLOGY/ONCLOLOGY CLINIC",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102819",
            "telephone_number": "517-975-9500",
            "fax_number": "517-975-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "KENNETH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301032685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1344730",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.