Organization Active NPI

Dr Ridhu C Burton MD PC

Doing business as Allergy & Asthma Consultants of Mid-Michigan

  • Allergy & Immunology Physician
  • Lansing, MI
National Provider Identifier
1699955641
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
RB049536 Issued in MI
Legal business name
DR RIDHU C BURTON MD PC
Doing business as
Allergy & Asthma Consultants of Mid-Michigan
Practice address
4169 Legacy Pkwy
Lansing, MI 48911-4200
Phone
(517) 394-6500
Fax
(517) 393-4202
NPI assigned
Nov 7, 2007
Last updated
Jul 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Dr. Ridhu C Burton, MDNPI 1497735310
Title
Owner
Phone
(517) 394-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X RB049536 MI Primary

Addresses

Primary practice location

4169 Legacy Pkwy
Lansing, MI 48911-4200

Mailing address

4169 Legacy Pkwy
Lansing, MI 48911-4200
Phone (517) 394-6500

Other identifiers 2

IdentifierTypeStateIssuer
0303307191OtherMIBCBS
4442252MedicaidMI

Other names 1

  • Allergy & Asthma Consultants of Mid-Michigan Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050311000726 MI Part B Supplier - Clinic/Group Practice 2365407897 Receives reassigned benefits from 3 practitioners
Practice locations: Lansing, MI

National Provider Directory

National Provider Directory

Locations

4169 Legacy Pkwy
#C
Lansing, MI 48911
Phone (517) 394-6500

600 S Capitol Ave
Lansing, MI 48933
Phone (517) 371-1300

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1699955641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 LEGACY PKWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114200",
            "telephone_number": "517-394-6500",
            "fax_number": "517-393-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 LEGACY PKWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114200",
            "telephone_number": "517-394-6500",
            "fax_number": "517-393-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RIDHU C BURTON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "RIDHU",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-394-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "RB049536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0303307191",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4442252",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & Asthma Consultants of Mid-Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 25, 2008; 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.