Troy Gastroenterology, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

TROY GASTROENTEROLOGY, PC

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

Organization subpart

No

Name

Mary Michalek

Title

Billing Manager

Phone

(586) 726-8423

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

• Troy Gastroenterology PC

  • Gastroenterology Physician
  • Rochester Hills, MI
  • NPI 1134180318

  O20041117000300

  Same enrollment
• Troy Gastroenterology, PC

  • Anesthesiology Physician
  • Troy, MI
  • NPI 1740232701

  O20041117000300

  Same enrollment

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

• Amir Abadir, M.D.

  • Gastroenterology Physician
  • Lansing, MI
  • NPI 1184050098

  Gastroenterology

  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

  Gastroenterology

  NPD
• Mehdi H Baluch, MD

  • Gastroenterology Physician
  • Saginaw, MI
  • NPI 1104831536

  Gastroenterology

  NPD
• Margaret Jane Blayney, MD

  • Gastroenterology Physician
  • East Lansing, MI
  • NPI 1629413018

  Gastroenterology

  NPD
• Sante D Bologna, MD

  • Gastroenterology Physician
  • Troy, MI
  • NPI 1972585925

  Gastroenterology

  NPD
• Kylie Lynn Butchart, PA-C

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

  • Gastroenterology Physician
  • Detroit, MI
  • NPI 1548618796

  Gastroenterology

  NPD
• Tusar K Desai, MD

  • Gastroenterology Physician
  • Saginaw, MI
  • NPI 1740271527

  Gastroenterology

  NPD
• Matthew James Dimagno, MD

  • Gastroenterology Physician
  • East Lansing, MI
  • NPI 1720160252

  Gastroenterology

  NPD
• Mehmet E Donat, MD

  • Gastroenterology Physician
  • Troy, MI
  • NPI 1003898347

  Gastroenterology

  NPD
• Ronald Fogel, MD

  • Gastroenterology Physician
  • Chesterfield, MI
  • NPI 1588641633

  Gastroenterology

  NPD

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

• Michigan Gastroenterology Institute Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 3, 2022.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "500C311470",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "OC31060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Gastroenterology Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trilogy Healthcare of Clinton, LLC
• 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

• All providers in East Lansing, MI
• 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.