Individual provider Active NPI

Kristin L Gaumer, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Lansing, MI
National Provider Identifier
1639395767
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
5101015810 Issued in MI
Practice address
1210 W Saginaw Avenue
Lansing, MI 48915-1999
Phone
(517) 364-7575
Fax
(517) 364-7560
NPI assigned
Apr 17, 2007
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101015810 MI
Geriatric Medicine (Family Medicine) Physician 207QG0300X 5101015810 MI Primary

Addresses

Primary practice location

1210 W Saginaw Avenue
Lansing, MI 48915-1999

Mailing address

1210 W Saginaw Avenue
Lansing, MI 48915-1999
Phone (517) 364-7575

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
I20071005000591 MI Practitioner - Family PracticePractitioner - Geriatric Medicine 6608961511 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101015810MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Care Free Medical, Inc Family Medicine CurrentSince May 1, 2024 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Jul 1, 2016 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sunshine Family Care Clinic, PLLC Family Medicine PastSince Nov 19, 2023 Accepting new patients
Sunshine Family Cares, Inc. Family Medicine PastSince Nov 19, 2023 Accepting new patients
Care Free Medical, Inc Family Medicine PastSince Oct 27, 2024 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1100 W Saginaw St
Ste 5
Lansing, MI 48915
Phone (517) 887-5922

1115 S Pennsylvania Ave
Ste 101
Lansing, MI 48912
Phone (517) 346-4700

1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1215 E Michigan Ave
#C
Lansing, MI 48912
Phone (517) 364-2050

2909 E Grand River Ave
Ste 102
Lansing, MI 48912
Phone (517) 364-8670

Interoperability endpoints

  • Direct secure messaging: kgaumer1556@sparrowdirecthie.org
  • Direct secure messaging: kristin.gaumer.1@23869.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1639395767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 W SAGINAW AVENUE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489151999",
            "telephone_number": "517-364-7575",
            "fax_number": "517-364-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W SAGINAW AVENUE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489151999",
            "telephone_number": "517-364-7575",
            "fax_number": "517-364-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUMER",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015810",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "5101015810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.