Active NPI
Mukesh Lathia, MD
- Psychiatry Physician
- Bay City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301073076
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4318073 | Medicaid | MI | |
| 90097 | Other | MI | BCBS |
| 5888666 | Other | AETNA | |
| N3404800001 | Other | MI | MEDICARE |
| 0982788 | Other | MI | HEALTH PLUS |
| 260Z910350 | Other | MI | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080428000496 | MI | Practitioner - Psychiatry | 1153393533 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Covenant Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Bay Region | Current | Accepting new patients | |
| Great Lakes Bay Health Centers | Current | Accepting new patients | |
| Great Lakes Bay Health Centers | Current | Accepting new patients | |
| Bay-Arenac Behavioral Health | Current | Accepting new patients | |
| Tuscola County Community Mental Health Services Board | Past | 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 | Past | 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
- mukesh.lathia.1@27771.direct.athenahealth.com
- mukesh.lathia@direct.medfusion.com
- lathia.mukesh.001.0220017@mbpa.meditab.direct-ci.com
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bay City, MI
- NPI 1154439438
MI
-
- Federally Qualified Health Center (FQHC)
- Midland, MI
- NPI 1609609536
-
- Psychologist
- Bay City, MI
- NPI 1144322496
-
- Psychiatry Physician
- Bay City, MI
- NPI 1326194168
Psychiatry
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Caro, MI
- NPI 1275644775
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.