Active NPI
Mark D Castellani, MD
- Clinical Cardiac Electrophysiology Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 4301052699
- Practice address
- 1140 E Michigan Ave Ste 400
Lansing, MI 48912-1806 - Phone
- (517) 364-9650
- Fax
- (517) 364-9605
- NPI assigned
- Jul 13, 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 |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 4301052699 | MI | Primary |
Addresses
Primary practice location
1140 E Michigan Ave Ste 400
Lansing, MI 48912-1806
Mailing address
3500 S Cedar St
Ste 116
Lansing, MI 48910-4699
Phone (517) 887-2511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4672978 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Wayne State University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1140 E Michigan Ave
Lansing, MI 48912-1806
1210 W Saginaw St
Lansing, MI 48915-1927
1210 W Saginaw St FL
Lansing, MI 48915-1927
1215 E Michigan Ave
Lansing, MI 48912-1811
300 Health Park Dr
Suite 301
Owosso, MI 48867-1293
Phone (989) 723-3613
321 E Harris St
Charlotte, MI 48813-1629
3565 S State Rd
Ionia, MI 48846-9416
406 E Elm St
Carson City, MI 48811-9693
805 S Oakland St
Saint Johns, MI 48879-2253
Hospital & facility affiliations
- Edward W Sparrow Hospital
- University of Michigan Health - Sparrow Eaton
- University of Michigan Health- Sparrow Clinton
- Sparrow Ionia Hospital
- University of Michigan Health-Sparrow Carson
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301052699 | MI | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Clinical Cardiac Electrophysiology | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
1140 E Michigan Ave
Ste 40
Lansing, MI 48912
Phone (517) 483-7550
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1140 E Michigan Ave
Ste 400
Lansing, MI 48912
Phone (517) 483-7550
Interoperability endpoints
- mcastellani14796@sparrowdirecthie.org
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.
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Cardiovascular Disease Physician
- Lansing, MI
- NPI 1245737402
Clinical Cardiac Electrophysiology
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- General Acute Care Hospital
- Carson City, MI
- NPI 1336103043
-
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
-
- Critical Access Hospital
- Charlotte, MI
- NPI 1942254529
-
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1598763542",
"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": "1140 E MICHIGAN AVE STE 400",
"city": "LANSING",
"state": "MI",
"postal_code": "489121806",
"telephone_number": "517-364-9650",
"fax_number": "517-364-9605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLANI",
"first_name": "MARK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MI",
"license": "4301052699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4672978",
"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 Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.