Individual provider Active NPI

Dawn N Rosser, MD

  • Pediatrics Physician
  • Lansing, MI
National Provider Identifier
1609830033
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301074298 Issued in MI
Practice address
13750 S Sedona Pkwy Ste 2
Lansing, MI 48906-8101
Phone
(517) 353-4000
Fax
(844) 722-4112
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301074298 MI Primary

Addresses

Primary practice location

13750 S Sedona Pkwy Ste 2
Lansing, MI 48906-8101

Mailing address

804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 353-4000

Other practice location 1

7335 Westshire Dr Ste 102
Lansing, MI 48917-9703
Phone (517) 622-1012

Other practice location 2

1600 W Grand River Ave Ste 2
Okemos, MI 48864-2394
Phone (517) 349-6560

Other identifiers 2

IdentifierTypeStateIssuer
3500810112OtherMIBCBS
4586127MedicaidMI

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
I20190701001607 MI Practitioner - Pediatric Medicine 4486988094 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Msu Health Care Inc. CurrentSince Oct 1, 2022 Accepting new patients
Metropolitan Hospital CurrentSince Jul 1, 2019 Accepting new patients
Msu Health Care Inc Pediatrics CurrentSince Oct 1, 2022 Accepting new patients
Msu Health Care Inc Current Accepting new patients
Pediatric Associates of Kentwood Past Accepting new patients
County of Ingham Past Accepting new patients

Locations

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

7335 Westshire Dr
Ste 102
Lansing, MI 48917
Phone (517) 622-1012

13750 S Sedona Pkwy
Ste 2
Lansing, MI 48906
Phone (517) 353-4000

1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

2215 44th St SW
Wyoming, MI 49519
Phone (616) 252-8300

Interoperability endpoints

  • Direct secure messaging: dawn.rosser.1@13693.direct.athenahealth.com
  • Direct secure messaging: dawn.rosser.p1@direct.ichd.nextgenshare.com
  • Direct secure messaging: dawn.rosser.1@25394.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13693/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1609830033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A109B",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-4000",
            "fax_number": "844-722-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 S SEDONA PKWY STE 2",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489068101",
            "telephone_number": "517-353-4000",
            "fax_number": "844-722-4112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7335 Westshire Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489179703",
            "country_code": "US",
            "telephone_number": "517-622-1012",
            "fax_number": "517-622-1033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 W Grand River Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488642394",
            "country_code": "US",
            "telephone_number": "517-349-6560",
            "fax_number": "517-349-5796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSER",
        "first_name": "DAWN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301074298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3500810112",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4586127",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.