Active NPI
Michael E Burnett, D.O.
- Pulmonary Disease Physician
- Lansing, MI
National Provider Identifier
1730169418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 5101008171
- Practice address
- 1200 E Michigan Ave
Suite 415
Lansing, MI 48912-1800 - Phone
- (517) 484-2760
- Fax
- (517) 484-9370
- NPI assigned
- Jan 19, 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 5101008171 | MI | Primary |
Addresses
Primary practice location
1200 E Michigan Ave
Suite 415
Lansing, MI 48912-1800
Mailing address
804 Service Rd
A201
East Lansing, MI 48824-7015
Phone (517) 884-2976
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4648471 | Medicaid | MI | |
| 1730169418 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W Sparrow Hospital Association | Past | Accepting new patients |
Interoperability endpoints
- michaelburnett@compass.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1730169418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD",
"address_2": "A201",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-884-2976",
"fax_number": "517-432-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E MICHIGAN AVE",
"address_2": "SUITE 415",
"city": "LANSING",
"state": "MI",
"postal_code": "489121800",
"telephone_number": "517-484-2760",
"fax_number": "517-484-9370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "MICHAEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "5101008171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4648471",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730169418",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
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 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.