Individual provider Active NPI

David John Nebbeling, DO

  • Family Medicine Physician
  • Mason, MI
National Provider Identifier
1548755044
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101025277 Issued in MI
Practice address
790 E Columbia St Ste 4
Mason, MI 48854-1387
Phone
(517) 525-8018
NPI assigned
Jun 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101025277 MI Primary

Addresses

Primary practice location

790 E Columbia St Ste 4
Mason, MI 48854-1387

Mailing address

1938 W Columbia Rd
Mason, MI 48854-9241
Phone (517) 525-8018

Other practice location 1

3512 Coolidge Rd
East Lansing, MI 48823-6376
Phone (517) 525-8018

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
I20200803002876 MI Practitioner - Family Practice 2860749413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

790 E Columbia St
Suite 4
Mason, MI 48854-1387
Phone (517) 525-8018

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101025277MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nebbeling Osteopathic Health PLLC Family Medicine CurrentSince Jun 15, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3512 Coolidge Rd
East Lansing, MI 48823
Phone (517) 318-5889

306 S Creyts Rd
Lansing, MI 48917
Phone (517) 204-1604

790 E Columbia St
Ste 4
Mason, MI 48854
Phone (517) 525-8018

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1548755044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 W COLUMBIA RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549241",
            "telephone_number": "517-525-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 E COLUMBIA ST STE 4",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541387",
            "telephone_number": "517-525-8018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3512 Coolidge Rd",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236376",
            "country_code": "US",
            "telephone_number": "517-525-8018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEBBELING",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101025277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, MI

Sources for this page

Verify at the official NPI Registry.