NPIMap

Individual provider Active NPI

Amit Ghose, MD

  • Internal Medicine Physician
  • Lansing, MI
National Provider Identifier
1639177686
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AG065780 Issued in MI
Practice address
3955 Patient Care Dr Ste a
Lansing, MI 48911-4271
Phone
(517) 374-7600
Fax
(885) 480-9150
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AG065780 MI Primary

Addresses

Primary practice location

3955 Patient Care Dr Ste a
Lansing, MI 48911-4271

Mailing address

3955 Patient Care Dr Ste a
Lansing, MI 48911-4271
Phone (517) 374-7600

Other identifiers 1

IdentifierTypeStateIssuer
337534210MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100129000036 MI Practitioner - Internal Medicine 0345382313 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Eaton Rapids Medical CenterGroup PAC ID 5991692634, shared by 4 NPIs, 34 clinicians
Capital Internal Medicine Associates P.C.Group PAC ID 8022097963, 64 clinicians

Practice addresses (Care Compare)

1500 S Main St
Eaton Rapids, MI 48827-1952

3955 Patient Care Dr
Lansing, MI 48911-4271

3955 Patient Care Dr
Lansing, MI 48911-4299
Phone (517) 374-7600

3955 Patient Care Way
Suite a
Lansing, MI 48911-4299

Hospital & facility affiliations

  • Elara Caring Home health agency, Jackson, MI, CCN 237274
  • McLaren Home Health Home health agency, Lansing, MI, CCN 237008
  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • Eaton Rapids Medical Center Hospital, Eaton Rapids, MI, CCN 231324
  • University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327
  • Eaton Rapids Medical Center Nursing home, CCN 23Z324

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG065780MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eaton Rapids Medical Center CurrentSince Dec 6, 2021 Accepting new patients
Eaton Rapids Medical Center Current Accepting new patients
Eaton Rapids Medical Center CurrentSince Dec 6, 2021 Accepting new patients
Healthtexas Provider Network Past Accepting new patients
McLaren Greater Lansing Past Accepting new patients
Eaton Rapids Medical Center Past Accepting new patients

Locations

1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671

Interoperability endpoints

  • Direct secure messaging: amit.ghose@cimamed.eclinicaldirectplus.com

Organizations & group practices 7

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 11

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1639177686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE DR STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114271",
            "telephone_number": "517-374-7600",
            "fax_number": "885-480-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE DR STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114271",
            "telephone_number": "517-374-7600",
            "fax_number": "885-480-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSE",
        "first_name": "AMIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "AG065780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337534210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.