Active NPI
Niti Thakur, MD
- Rheumatology Physician
- East Lansing, MI
National Provider Identifier
1568657146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 4301055581
- Practice address
- 6200 Pine Hollow Dr
Suite 400
East Lansing, MI 48823-9700 - Phone
- (517) 339-1676
- Fax
- (517) 339-2716
- NPI assigned
- Sep 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 4301055581 | MI | Primary |
Addresses
Primary practice location
6200 Pine Hollow Dr
Suite 400
East Lansing, MI 48823-9700
Mailing address
6200 Pine Hollow Dr
Suite 400
East Lansing, MI 48823-9700
Phone (517) 339-1676
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0331244 | Other | MI | BLUE CARE NETWORK |
| 1103312441 | Other | MI | BLUE CROSS BLUE SHIELD |
| 200000002343 | Other | MI | PHP |
| 10-5214000 | 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joshua P June DO | Rheumatology | Past | Accepting new patients |
Interoperability endpoints
- lansingrheumatology@ppdxdirect.com
Organizations & group practices 1
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.
-
- Rheumatology Physician
- Lansing, MI
- NPI 1942836663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1568657146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 PINE HOLLOW DR",
"address_2": "SUITE 400",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488239700",
"telephone_number": "517-339-1676",
"fax_number": "517-339-2716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 PINE HOLLOW DR",
"address_2": "SUITE 400",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488239700",
"telephone_number": "517-339-1676",
"fax_number": "517-339-2716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKUR",
"first_name": "NITI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MI",
"license": "4301055581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "0331244",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1103312441",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "200000002343",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10-5214000",
"state": "MI"
}
],
"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 Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.