Active NPI
John Paul Kepros, M.D.
- Surgery Physician
- Lansing, MI
National Provider Identifier
1487665519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301059421
- Practice address
- Sparrow Hospital - Trauma Services
1215 E Michigan Ave
Lansing, MI 48912 - Phone
- (517) 267-2460
- Fax
- (517) 267-2462
- NPI assigned
- Aug 11, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301059421 | MI | Primary |
Addresses
Primary practice location
Sparrow Hospital - Trauma Services
1215 E Michigan Ave
Lansing, MI 48912
Mailing address
804 Service Rd
# A109F
East Lansing, MI 48824-7015
Phone (517) 884-2976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4579660 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|
| 4301059421 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Mile High Surgical Specialists, PC | Past | Accepting new patients |
Locations
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
7351 E Osborn Rd
Ste 200B
Scottsdale, AZ 85251
Phone (480) 882-5730
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.
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Neurology Physician
- Scottsdale, AZ
- NPI 1205188158
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Specialist
- Highlands Ranch, CO
- NPI 1225158165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1487665519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD",
"address_2": "# A109F",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-884-2976",
"fax_number": "517-432-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SPARROW HOSPITAL - TRAUMA SERVICES",
"address_2": "1215 E MICHIGAN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "48912",
"telephone_number": "517-267-2460",
"fax_number": "517-267-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPROS",
"first_name": "JOHN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301059421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4579660",
"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 Aug 15, 2018; 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.