Active NPI
Dana G Fletcher, D.O.
- Endocrinology, Diabetes & Metabolism Physician
- Lansing, MI
National Provider Identifier
1669427902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 5101015488
- Practice address
- 1540 Lake Lansing Rd
Ste 201
Lansing, MI 48912-3756 - Phone
- (517) 913-3900
- Fax
- (517) 913-3901
- NPI assigned
- May 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 5101015488 | MI | Primary |
Addresses
Primary practice location
1540 Lake Lansing Rd
Ste 201
Lansing, MI 48912-3756
Mailing address
1540 Lake Lansing Rd
Ste 201
Lansing, MI 48912-3756
Phone (517) 913-3900
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0M21440032 | Other | MI | MEDICARE PLUS BLUE |
| 1013958 | Other | MI | MCLAREN HEALTH PLAN-COMMERCIAL |
| 200000001964 | Other | MI | PHP FAMILYCARE |
| 4651898 | Medicaid | MI | |
| 7985571 | Other | MI | AETNA |
| 200000001964 | Other | MI | PHP |
| 4652625 | Medicaid | MI | |
| 4652634 | Medicaid | MI | |
| 4857088 | Medicaid | MI | |
| 9340574 | Other | MI | PHCS |
| P00228867 | Other | MI | RAILROAD MEDICARE |
| 1153310934 | Other | MI | BCBS/BCN |
| 1013958 | Other | MI | MCLAREN HEALTH ADVANTAGE |
| 1013958 | Other | MI | MCLAREN HEALTH PLAN-MEDICAID |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
2900 Hannah Blvd
Ste 114
East Lansing, MI 48823
Phone (517) 364-8080
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
Interoperability endpoints
- dfletcher7647@sparrowdirecthie.org
Organizations & group practices 3
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
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Endocrinology, Diabetes & Metabolism Physician
- Lansing, MI
- NPI 1508812264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253577600000",
"number": "1669427902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 LAKE LANSING RD",
"address_2": "STE 201",
"city": "LANSING",
"state": "MI",
"postal_code": "489123756",
"telephone_number": "517-913-3900",
"fax_number": "517-913-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 LAKE LANSING RD",
"address_2": "STE 201",
"city": "LANSING",
"state": "MI",
"postal_code": "489123756",
"telephone_number": "517-913-3900",
"fax_number": "517-913-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "DANA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2009-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MI",
"license": "5101015488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PLUS BLUE",
"identifier": "0M21440032",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN-COMMERCIAL",
"identifier": "1013958",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP FAMILYCARE",
"identifier": "200000001964",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4651898",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7985571",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "200000001964",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4652625",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4652634",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4857088",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9340574",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00228867",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/BCN",
"identifier": "1153310934",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH ADVANTAGE",
"identifier": "1013958",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN-MEDICAID",
"identifier": "1013958",
"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 Sep 22, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.