Organization Active NPI

Capitol Infectious Disease Associates

  • Infectious Disease Physician
  • East Lansing, MI
National Provider Identifier
1497205546
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301054596 Issued in MI
Legal business name
CAPITOL INFECTIOUS DISEASE ASSOCIATES
Practice address
6401 Pine Hollow Dr
East Lansing, MI 48823-9737
Phone
(517) 339-1676
NPI assigned
Oct 12, 2016
Last updated
Dec 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Mujahed Abbas, MDNPI 1861500894
Title
Owner / Authorized Official
Phone
(517) 339-1676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 4301054596 MI Primary

Addresses

Primary practice location

6401 Pine Hollow Dr
East Lansing, MI 48823-9737

Mailing address

6200 Pine Hollow Dr Ste 400
East Lansing, MI 48823-9224
Phone (517) 339-1676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161221000249 MI Part B Supplier - Clinic/Group Practice 7517248016 Receives reassigned benefits from 6 practitioners
Practice locations: East Lansing, MI; Battle Creek, MI

National Provider Directory

National Provider Directory

Locations

300 North Ave
#6
Battle Creek, MI 49017
Phone (517) 253-8944

300 North Ave
Ste 6
Battle Creek, MI 49017

705 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 253-8944

705 W Lake Lansing Rd
Ofc
East Lansing, MI 48823
Phone (517) 253-8944

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1497205546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 PINE HOLLOW DR STE 400",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488239224",
            "telephone_number": "517-339-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 PINE HOLLOW DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488239737",
            "telephone_number": "517-339-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL INFECTIOUS DISEASE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "ABBAS",
        "authorized_official_first_name": "MUJAHED",
        "authorized_official_title_or_position": "OWNER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "517-339-1676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301054596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.