Organization Active NPI

Lansing Radiology Associates P C

  • Diagnostic Radiology Physician
  • Lansing, MI
National Provider Identifier
1669425658
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LANSING RADIOLOGY ASSOCIATES P C
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(517) 364-2615
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Tricia Byrd, MD
Title
Physician
Phone
(616) 363-7339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TN, IL, AZ, VA, KS, WA, CO, FL, HI, TX, NY, SC, AL, OH, WI16 enrollments

Enrollment records 16

Enrollment IDStateProvider typePAC IDDetails
O20031219000576 MI Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 27 practitioners
Practice locations: Saint Johns, MI; Okemos, MI; Ionia, MI; Mason, MI; Lansing, MI; Grand Ledge, MI; East Lansing, MI; Dewitt, MI…
O20201202000290 TN Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN; Collierville, TN
O20201214001163 IL Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 4 practitioners
Practice locations: Hinsdale, IL; Kankakee, IL; Naperville, IL; New Lenox, IL; Western Springs, IL
O20201216000841 AZ Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 7 practitioners
Practice locations: Cave Creek, AZ; Chandler, AZ; Phoenix, AZ; Queen Creek, AZ; Scottsdale, AZ
O20201222002095 VA Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 1 practitioner
Practice locations: Williamsburg, VA
O20211122002259 KS Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS
O20221214002200 WA Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 1 practitioner
Practice locations: Kennewick, WA
O20230124003578 CO Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 3 practitioners
Practice locations: Grand Junction, CO; Lafayette, CO
O20230127002135 FL Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Lauderdale, FL; Oviedo, FL; West Palm Beach, FL
O20230307002769 HI Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI; Waipahu, HI
O20230515000697 TX Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 2 practitioners
Practice locations: Lubbock, TX; Sugar Land, TX
O20230707000136 NY Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 3 practitioners
Practice locations: New York, NY; Sag Harbor, NY
O20230724002679 SC Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 3 practitioners
Practice locations: Columbia, SC
O20231003002339 AL Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 1 practitioner
Practice locations: Vestavia Hills, AL
O20231005002411 OH Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 1 practitioner
Practice locations: Perrysburg, OH
O20240702001117 WI Part B Supplier - Clinic/Group Practice 4486552148 Receives reassigned benefits from 1 practitioner
Practice locations: Janesville, WI

National Provider Directory

National Provider Directory

Locations

4748 Reliable Pkwy
Chicago, IL 60686

305 S Saginaw St
Chesaning, MI 48616
Phone (989) 845-4575

9099 E Lansing Rd
Durand, MI 48429
Phone (989) 288-0400

271 Woodland Pass
Ste 120
East Lansing, MI 48823
Phone (517) 351-4905

2035 Asher Ct
Ste 2081
East Lansing, MI 48823

3264 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 391-6001

1322 E Michigan Ave
Ste 1
Lansing, MI 48912

2248 Mount Hope Rd
Okemos, MI 48864
Phone (517) 482-1183

1201 Highway 49 S
Ste 4
Richland, MS 39218
Phone (601) 932-6400

Practitioners & affiliated clinicians

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1669425658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-363-7339",
            "fax_number": "616-361-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "517-364-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANSING RADIOLOGY ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "616-363-7339",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.