Active NPI
Kenneth E. Thorp, M.D.
- Diagnostic Radiology Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301041812
- Practice address
- 1215 E Michigan Ave
Lansing, MI 48912-1811 - Phone
- (517) 364-2315
- Fax
- (517) 372-1617
- NPI assigned
- Jun 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301041812 | MI | Primary |
Addresses
Primary practice location
1215 E Michigan Ave
Lansing, MI 48912-1811
Mailing address
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7339
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4534659 | Medicaid | MI | |
| 3003303771 | Other | MI | BCBS MI INDIVIDUAL PIN |
| 1600756 | Other | MI | PHP |
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Wayne State University School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 E Michigan Ave
Unitversity of Michigan Health Spar
Lansing, MI 48912-1811
Phone (517) 364-5650
Hospital & facility affiliations
- Edward W Sparrow Hospital
- University of Michigan Health - Sparrow Eaton
- University of Michigan Health- Sparrow Clinton
- Sparrow Ionia Hospital
- University of Michigan Health-Sparrow Carson
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.13 of 100
- Quality
- 73.7
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301041812 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Lansing Radiology Associates P C | Diagnostic Radiology | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
4748 Reliable Pkwy
Chicago, IL 60686
271 Woodland Pass
Ste 120
East Lansing, MI 48823
Phone (517) 351-4905
3264 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 391-6001
1200 E Michigan Ave
Lansing, MI 48912
Phone (517) 267-2460
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1200 E Michigan Ave
Ste 500
Lansing, MI 48912
Phone (517) 364-5123
1200 E Michigan Ave
Fl 1
Lansing, MI 48912
1215 E Michigan Ave
Fl 4
Lansing, MI 48912
Phone (517) 364-3480
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.
-
- Vascular & Interventional Radiology Physician
- Lansing, MI
- NPI 1629517420
-
- Diagnostic Radiology Physician
- Lansing, MI
- NPI 1669425658
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- General Acute Care Hospital
- Carson City, MI
- NPI 1336103043
-
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
-
- Critical Access Hospital
- Charlotte, MI
- NPI 1942254529
-
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1427086693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7339",
"fax_number": "616-361-5828"
},
{
"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": "THORP",
"first_name": "KENNETH",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301041812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4534659",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI INDIVIDUAL PIN",
"identifier": "3003303771",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "1600756",
"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 Sep 28, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.