Individual provider Active NPI

Mukesh Lathia, MD

  • Psychiatry Physician
  • Bay City, MI
National Provider Identifier
1700820693
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301073076 Issued in MI
Practice address
690 S Trumbull St
Bay City, MI 48708-7692
Phone
(989) 922-4900
Fax
(989) 922-4911
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301073076 MI Primary

Addresses

Primary practice location

690 S Trumbull St
Bay City, MI 48708-7692

Mailing address

690 S Trumbull St
Bay City, MI 48708-7692
Phone (989) 922-4900

Other identifiers 6

IdentifierTypeStateIssuer
4318073MedicaidMI
90097OtherMIBCBS
5888666OtherAETNA
N3404800001OtherMIMEDICARE
0982788OtherMIHEALTH PLUS
260Z910350OtherMIBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mukesh.lathia@direct.medfusion.com

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
I20080428000496 MI Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 1153393533 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay-Arenac Behavioral HealthGroup PAC ID 5496706228, 30 clinicians
Great Lakes Bay Health CentersGroup PAC ID 2466369046, 85 clinicians

Practice addresses (Care Compare)

1010 S Madison Ave
Bay City, MI 48708-7261
Phone (989) 895-2200

3023 Davenport Ave
Saginaw, MI 48602-3652
Phone (989) 907-2761

Hospital & facility affiliations

  • McLaren Bay Region Hospital, Bay City, MI, CCN 230041
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Bay Region CurrentSince Dec 1, 2022 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Oct 1, 2019 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Oct 1, 2019 Accepting new patients
Bay-Arenac Behavioral Health CurrentSince Jan 7, 2020 Accepting new patients
Tuscola County Community Mental Health Services Board PastSince Oct 6, 2008 Accepting new patients
Michigan Psyciatric & Behavioral Associates PC Psychiatry Past Accepting new patients
List Psychological Services, PLC Psychiatry Past Accepting new patients
Michigan Psyciatric & Behavioral Associates PastSince Aug 1, 2001 Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

201 Mulholland St
Bay City, MI 48708
Phone (989) 895-2222

690 S Trumbull St
Bay City, MI 48708
Phone (989) 922-4900

3400 S Washington Rd
Saginaw, MI 48601
Phone (989) 755-1072

3023 Davenport Ave
Saginaw, MI 48602
Phone (989) 907-2761

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

Interoperability endpoints

  • Direct secure messaging: mukesh.lathia.1@27771.direct.athenahealth.com
  • Direct secure messaging: mukesh.lathia@direct.medfusion.com
  • Direct secure messaging: lathia.mukesh.001.0220017@mbpa.meditab.direct-ci.com
  • Direct secure messaging: lathia.mukesh.005.0220017@mbpa.meditab.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1700820693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087692",
            "telephone_number": "989-922-4900",
            "fax_number": "989-922-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087692",
            "telephone_number": "989-922-4900",
            "fax_number": "989-922-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHIA",
        "first_name": "MUKESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301073076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4318073",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "90097",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5888666",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "N3404800001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0982788",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "260Z910350",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mukesh.lathia@direct.medfusion.com",
            "affiliation": "N",
            "address_1": "690 S Trumbull St",
            "city": "Bay City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487087692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.