Individual provider Active NPI

Matthew McCord, M.D.

  • Anesthesiology Physician
  • Lansing, MI
National Provider Identifier
1720035983
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301054689 Issued in MI
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(517) 364-1000
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301054689 MI Primary

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

5400 Timber Bend Dr
Brighton, MI 48116-4797

Other practice location 1

7575 Grand River Rd
Brighton, MI 48114-9309
Phone (810) 844-7575

Other practice location 2

620 Byron Rd
Howell, MI 48843-1002
Phone (517) 545-6000

Other practice location 3

775 S Main St
Chelsea, MI 48118-1383
Phone (734) 593-6000

Other identifiers 1

IdentifierTypeStateIssuer
103189839MedicaidMI

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
I20041229000247 MI Practitioner - Anesthesiology 2062470610 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wayne State University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians

Practice addresses (Care Compare)

1215 E Michigan Ave
Lansing, MI 48912-1811

620 Byron Rd
Howell, MI 48843-1002
Phone (517) 545-6316

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301054689MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Lake Anesthesiology Consultants, PLC Anesthesiology CurrentSince May 10, 2022 Accepting new patients
Northstar Anesthesia of Michigan III PLLC CurrentSince May 31, 2022 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jun 1, 2022 Accepting new patients
Edward W. Sparrow Hospital Association Anesthesiology CurrentSince Jun 1, 2022 Accepting new patients
Capital Pathology PC Current Accepting new patients
Emergency Medical Associates, PLLC Current Accepting new patients

Locations

2009 Momentum Pl
Chicago, IL 60689

8175 Reliable Pkwy
Chicago, IL 60686

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200

3601 W 13 Mile Rd
Royal Oak, MI 48073

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Interoperability endpoints

  • Direct secure messaging: mmccord21463@direct.trinity-health.org

Organizations & group practices 7

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 4

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1720035983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 TIMBER BEND DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481164797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "517-364-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7575 Grand River Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481149309",
            "country_code": "US",
            "telephone_number": "810-844-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Byron Rd",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "488431002",
            "country_code": "US",
            "telephone_number": "517-545-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 S Main St",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "481181383",
            "country_code": "US",
            "telephone_number": "734-593-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301054689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103189839",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.