Active NPI
Tricia A. Byrd, M.D.
- Diagnostic Radiology Physician
- Lansing, MI
National Provider Identifier
1386671188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301053040
- Practice address
- 1215 E Michigan Ave
Lansing, MI 48912-1811 - Phone
- (517) 364-2315
- Fax
- (517) 372-1617
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301053040 | MI | Primary |
Addresses
Primary practice location
1215 E Michigan Ave
Lansing, MI 48912-1811
Mailing address
4748 Reliable Parkway
Chicago, IL 60686-0001
Phone (316) 685-2371
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3103306121 | Other | MI | BCBS MI INDIVIDUAL PIN |
| 4238571 | Medicaid | MI | |
| 1600290 | Other | MI | PHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551571200000",
"number": "1386671188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4748 RELIABLE PARKWAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606860001",
"telephone_number": "316-685-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E MICHIGAN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489121811",
"telephone_number": "517-364-2315",
"fax_number": "517-372-1617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "TRICIA",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2019-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301053040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI INDIVIDUAL PIN",
"identifier": "3103306121",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4238571",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "1600290",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.