Individual provider Active NPI

Gregg Arthur Patten, MD

  • Pulmonary Disease Physician
  • Jackson, MI
National Provider Identifier
1699720771
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301041437 Issued in MI
Practice address
900 E Michigan Ave
Ste 105
Jackson, MI 49201-2490
Phone
(517) 782-3190
Fax
(517) 782-1223
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301041437 MI
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4301041437 MI
Pulmonary Disease Physician 207RP1001X 4301041437 MI Primary

Addresses

Primary practice location

900 E Michigan Ave
Ste 105
Jackson, MI 49201-2490

Mailing address

900 E Michigan Ave
Ste 105
Jackson, MI 49201-2490
Phone (517) 782-3190

Other practice location 1

205 N East Ave
Jackson, MI 49201-1753
Phone (517) 788-4800

Other identifiers 1

IdentifierTypeStateIssuer
101631550MedicaidMI

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
I20040306000202 MI Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 6204724776 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301041437MIMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Foote Memorial Hospital, Inc Pulmonary Disease CurrentSince Nov 1, 2006 Accepting new patients
Wa Foote Memorial Hospital Inc. CurrentSince May 1, 2012 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
Pulmonary Clinics of Southern Michigan Critical Care Medicine CurrentSince Apr 15, 1987 Accepting new patients
Hillsdale Community Health Center Pulmonary Disease CurrentSince Apr 1, 2015 Accepting new patients

Locations

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

451 Hidden Meadows Dr
Ste 210
Hillsdale, MI 49242
Phone (517) 437-0499

900 E Michigan Ave
Ste 1
Jackson, MI 49201
Phone (517) 788-7866

110 N Elm Ave
Jackson, MI 49202
Phone (517) 787-1440

900 E Michigan Ave
Ste 105
Jackson, MI 49201
Phone (517) 782-3190

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

Interoperability endpoints

  • Direct secure messaging: gpatten451622@direct.hfhs.org

Organizations & group practices 6

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.

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": "1624924800000",
    "number": "1699720771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E MICHIGAN AVE",
            "address_2": "STE 105",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012490",
            "telephone_number": "517-782-3190",
            "fax_number": "517-782-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E MICHIGAN AVE",
            "address_2": "STE 105",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012490",
            "telephone_number": "517-782-3190",
            "fax_number": "517-782-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N East Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011753",
            "country_code": "US",
            "telephone_number": "517-788-4800",
            "fax_number": "517-789-5968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "GREGG",
        "middle_name": "ARTHUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301041437",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301041437",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301041437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101631550",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.