Troy Gastroenterology, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

TROY GASTROENTEROLOGY, PC

Doing business as

Michigan Gastroenterology Institute

Practice address

1650 Ramblewood Dr Ste 100
East Lansing, MI 48823-7396

Phone

(517) 332-1200

Fax

(517) 351-7122

NPI assigned

Aug 20, 2006

Last updated

May 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Michalek

Title

Billing Manager

Phone

(586) 726-8423

Specialties & licenses 2

Addresses

Other names 1

• Michigan Gastroenterology Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Troy Gastroenterology PC

  dba Center For Digestive Health

  • Gastroenterology Physician
  • Rochester Hills, MI
  • NPI 1134180318

  O20041117000300

  Same enrollment
• Troy Gastroenterology, PC

  • Anesthesiology Physician
  • Troy, MI
  • NPI 1740232701

  O20041117000300

  Same enrollment

Locations

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amir Abadir, M.D.

  • Gastroenterology Physician
  • Lansing, MI
  • NPI 1184050098
  NPD
• Mitual Amin, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Rochester Hills, MI
  • NPI 1053389171
  NPD
• Anezi E Bakken, MD

  • Gastroenterology Physician
  • Troy, MI
  • NPI 1568444545
  NPD
• Mehdi H Baluch, MD

  • Gastroenterology Physician
  • Saginaw, MI
  • NPI 1104831536
  NPD
• Margaret Jane Blayney, MD

  • Gastroenterology Physician
  • East Lansing, MI
  • NPI 1629413018
  NPD
• Sante D Bologna, MD

  • Gastroenterology Physician
  • Troy, MI
  • NPI 1972585925
  NPD
• Kylie Lynn Butchart, PA-C

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1427622182
  NPD
• Wael Dahhan, M.D.

  • Gastroenterology Physician
  • Detroit, MI
  • NPI 1548618796
  NPD
• Tusar K Desai, MD

  • Gastroenterology Physician
  • Saginaw, MI
  • NPI 1740271527
  NPD
• Matthew James Dimagno, MD

  • Gastroenterology Physician
  • East Lansing, MI
  • NPI 1720160252
  NPD
• Mehmet E Donat, MD

  • Gastroenterology Physician
  • Troy, MI
  • NPI 1003898347
  NPD
• Ronald Fogel, MD

  • Gastroenterology Physician
  • Chesterfield, MI
  • NPI 1588641633
  NPD

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1699880591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 RAMBLEWOOD DR STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237396",
            "telephone_number": "517-332-1200",
            "fax_number": "517-351-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 RAMBLEWOOD DR STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237396",
            "telephone_number": "517-332-1200",
            "fax_number": "517-351-7122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1627 Lake Lansing Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489123788",
            "country_code": "US",
            "telephone_number": "517-332-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TROY GASTROENTEROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "MICHALEK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "586-726-8423"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Gastroenterology Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trilogy Healthcare of Clinton, LLC (The Willows at East Lansing)
• Mark Joseph Troisi
• Tammy Lynn Trott, MT, DOM, LIC. ACUP
• Alison Lee Trout, LLPC
• Erin Cecilia Trowbridge
• Heather M Trudeau, PA
• Trunorth Integrated Therapy, PLLC
• Brian James Tsacoumangos, PA-C
• Wan Chong Tsai, MD
• Martin J Tuck, DDS, MS

• Gastroenterology Physician in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.