Active NPI
Mark Veenendaal, MD
- Cardiovascular Disease Physician
- Lansing, MI
National Provider Identifier
1538167325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301036312
- Practice address
- 405 W Greenlawn Ave
Ste 400
Lansing, MI 48910-2898 - Phone
- (517) 483-7550
- Fax
- (517) 882-4144
- NPI assigned
- Jul 14, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301036312 | MI | Primary |
Addresses
Primary practice location
405 W Greenlawn Ave
Ste 400
Lansing, MI 48910-2898
Mailing address
3500 S Cedar St
Ste 116
Lansing, MI 48910-4699
Phone (517) 887-2511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1817507 | Medicaid | MI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301033961 | MI | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1538167325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 S CEDAR ST",
"address_2": "STE 116",
"city": "LANSING",
"state": "MI",
"postal_code": "489104699",
"telephone_number": "517-887-2511",
"fax_number": "517-882-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W GREENLAWN AVE",
"address_2": "STE 400",
"city": "LANSING",
"state": "MI",
"postal_code": "489102898",
"telephone_number": "517-483-7550",
"fax_number": "517-882-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEENENDAAL",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301036312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1817507",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.