Active NPI
John H Ip, MD
- Clinical Cardiac Electrophysiology Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 4301059263
- Practice address
- 1140 E Michigan Ave Ste 400
Lansing, MI 48912-1806 - Phone
- (517) 364-9650
- Fax
- (517) 364-9605
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 4301059263 | MI | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 4301059263 | MI |
Addresses
Primary practice location
1140 E Michigan Ave Ste 400
Lansing, MI 48912-1806
Mailing address
405 W Greenlawn Ave
Suite 400
Lansing, MI 48910-2898
Phone (517) 483-7550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2827633 | Medicaid | MI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301059263 | MI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W Sparrow Hospital Association | Cardiovascular Disease | Current | Accepting new patients |
| Capital Pathology PC | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Emergency Medical Associates, PLLC | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840
800 W Lawrence Ave
Charlotte, MI 48813
Phone (517) 541-5800
3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355
1140 E Michigan Ave
Ste 40
Lansing, MI 48912
Phone (517) 483-7550
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1140 E Michigan Ave
Ste 400
Lansing, MI 48912
Phone (517) 483-7550
300 Health Park Dr
Ste 301
Owosso, MI 48867
Phone (989) 723-3613
805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881
901 S Oakland St
Ste 101
Saint Johns, MI 48879
Phone (517) 332-4263
301 Williamston Center Rd
Williamston, MI 48895
Phone (517) 253-5125
Interoperability endpoints
- jip14892@sparrowdirecthie.org
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Anatomic Pathology & Clinical Pathology Physician
- Lansing, MI
- NPI 1295794717
-
- Cardiovascular Disease Physician
- Lansing, MI
- NPI 1245737402
-
- Emergency Medicine Physician
- Lansing, MI
- NPI 1346227626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1326049032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W GREENLAWN AVE",
"address_2": "SUITE 400",
"city": "LANSING",
"state": "MI",
"postal_code": "489102898",
"telephone_number": "517-483-7550",
"fax_number": "517-483-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 E MICHIGAN AVE STE 400",
"city": "LANSING",
"state": "MI",
"postal_code": "489121806",
"telephone_number": "517-364-9650",
"fax_number": "517-364-9605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IP",
"first_name": "JOHN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MI",
"license": "4301059263",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301059263",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2827633",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
- Innovative Home Health Services
- Innovative Integrated Health Systems
- Inspire Care LLC
- Integrative Functional Medicine Wellness
- Inviting Grace Home Health Care Agency LLC
- Ira Zachary Dyme MD
- Irb Medical Equipment, LLC
- Irb Medical Equipment, LLC
- Denese S Irish, P.A.
- Iron Mitten Performance Physical Therapy, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.