Individual provider Active NPI

Rajit Pahwa, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Lansing, MI
National Provider Identifier
1689669590
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
4301065677 Issued in MI
Practice address
1200 E Michigan Ave Ste 530
Lansing, MI 48912-1800
Phone
(517) 364-5880
Fax
(517) 364-5887
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 4301065677 MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301065677 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave Ste 530
Lansing, MI 48912-1800

Mailing address

1200 E Michigan Ave Ste 530
Lansing, MI 48912-1800
Phone (517) 364-5880

Other identifiers 4

IdentifierTypeStateIssuer
4737375MedicaidMI
4737384MedicaidMI
4737393MedicaidMI
08OG21014OtherMIBCBS

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
I20040131000138 MI Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Hospitalist 9032012448 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexcare Medical Group Midwest M PLLCGroup PAC ID 1355858630, 87 clinicians

Practice addresses (Care Compare)

12200 Broadbent Rd
Lansing, MI 48917-9706
Phone (517) 731-6200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301065677MIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital Current Accepting new patients
Sparrow Ionia Hospital CurrentSince Jan 1, 2015 Accepting new patients
Sparrow Clinton Hospital CurrentSince Jan 3, 2015 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jun 15, 2014 Accepting new patients
Sparrow Ionia Hospital CurrentSince Jan 1, 2015 Accepting new patients
Sparrow Clinton Hospital CurrentSince Jan 3, 2015 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jun 15, 2014 Accepting new patients
Indigo Services, PLC Hospitalist Past Accepting new patients
McLaren Primary Care Past Accepting new patients
McLaren Medical Group Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

123 Lansing St
Ste 3B
Charlotte, MI 48813
Phone (517) 541-5954

123 Lansing St
Ste 2
Charlotte, MI 48813
Phone (517) 541-5954

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1200 E Michigan Ave
Ste 530
Lansing, MI 48912
Phone (517) 364-5880

1200 E Michigan Ave
Ste 41
Lansing, MI 48912
Phone (517) 484-7497

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

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

1200 E Michigan Ave
Ste 415
Lansing, MI 48912
Phone (517) 484-2760

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1689669590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE STE 530",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-364-5880",
            "fax_number": "517-364-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE STE 530",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-364-5880",
            "fax_number": "517-364-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHWA",
        "first_name": "RAJIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301065677",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301065677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4737375",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4737384",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4737393",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08OG21014",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.