Individual provider Active NPI

Niti Thakur, MD

  • Rheumatology Physician
  • East Lansing, MI
National Provider Identifier
1568657146
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
4301055581 Issued in MI
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

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0331244OtherMIBLUE CARE NETWORK
1103312441OtherMIBLUE CROSS BLUE SHIELD
200000002343OtherMIPHP
10-5214000MedicaidMI

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

OrganizationSpecialtyStatusNew patients
Joshua P June DO Rheumatology PastSince Mar 22, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.