Individual provider Active NPI

Tadd Kaeo Hiatt, MD

  • Gastroenterology Physician
  • East Lansing, MI
National Provider Identifier
1457407074
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301100152 Issued in MI
Practice address
1650 Ramblewood Dr Ste 300
East Lansing, MI 48823-7396
Phone
(517) 332-1200
Fax
(517) 351-7122
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301100152 MI
Internal Medicine Physician 207R00000X 46668 CO
Gastroenterology Physician 207RG0100X 4301100152 MI Primary

Addresses

Primary practice location

1650 Ramblewood Dr Ste 300
East Lansing, MI 48823-7396

Mailing address

1701 South Blvd E Ste 300
Rochester Hills, MI 48307-6120
Phone (248) 884-9710

Other identifiers 1

IdentifierTypeStateIssuer
37770781MedicaidCO

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
I20120821000531 MI Practitioner - GastroenterologyPractitioner - Internal Medicine 0143395301 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Troy Gastroenterology PCGroup PAC ID 9739143991, 47 clinicians

Practice addresses (Care Compare)

1650 Ramblewood Dr
Suite 100
East Lansing, MI 48823-7396
Phone (517) 332-1200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy74
Upper gastrointestinal (GI) endoscopy for acid reflux110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association Gastroenterology CurrentSince Apr 2, 2024 Accepting new patients
Troy Gastroenterology, PC Gastroenterology CurrentSince Sep 20, 2024 Accepting new patients
Regents of the University of Michigan Internal Medicine Current Accepting new patients
Regents of the University of Michigan Internal Medicine CurrentSince Aug 1, 2012 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Regents of the University of Michigan CurrentSince Aug 1, 2012 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Apr 2, 2024 Accepting new patients
Troy Gastroenterology PC Gastroenterology Current Accepting new patients
Regents of the University of Michigan Past Accepting new patients
Pinnacle Anesthesia PLLC Past Accepting new patients
Regents of the University of Michigan Past Accepting new patients
Lake Lansing ASC Partners LLC Past Accepting new patients

Locations (25 of 26)

8175 Reliable Pkwy
Chicago, IL 60686

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

380 Parkland Plz
Ste 210
Ann Arbor, MI 48103

4260 Plymouth Rd
Ann Arbor, MI 48109
Phone (734) 647-5715

1500 E Medical Center Dr
Fl 3
Ann Arbor, MI 48109
Phone (734) 647-5944

1500 E Medical Center Dr
Fl 2
Ann Arbor, MI 48109
Phone (734) 936-5738

4250 Plymouth Rd
Ann Arbor, MI 48109
Phone (734) 764-0231

3621 S State St
#700
Ann Arbor, MI 48108

1500 E Medical Center Dr
Fl Taubman
Ann Arbor, MI 48109
Phone (734) 232-2867

1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823

7500 Challis Rd
Fl 2
Brighton, MI 48116
Phone (734) 647-5940

8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510

1051 N Canton Center Rd
Canton, MI 48187
Phone (734) 647-5670

1650 Ramblewood Dr
Ste 100
East Lansing, MI 48823

1650 Ramblewood Dr
Ste 200
East Lansing, MI 48823
Phone (517) 332-0200

1650 Ramblewood Dr
Ste 300
East Lansing, MI 48823

1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

2909 E Grand River Ave
Ste 102
Lansing, MI 48912
Phone (517) 364-8670

2909 E Grand River Ave
Ste 201
Lansing, MI 48912
Phone (517) 253-3050

39901 Traditions Dr
Ste 210
Northville, MI 48168
Phone (248) 305-4400

39901 Traditions Dr
Ste 130
Northville, MI 48168

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

Interoperability endpoints

  • Direct secure messaging: thiatt194772@direct.med.umich.edu

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1457407074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E STE 300",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076120",
            "telephone_number": "248-884-9710",
            "fax_number": "248-884-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 RAMBLEWOOD DR STE 300",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237396",
            "telephone_number": "517-332-1200",
            "fax_number": "517-351-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIATT",
        "first_name": "TADD",
        "middle_name": "KAEO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301100152",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "46668",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301100152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37770781",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.