Active NPI
James E Mayle, MD
- Geriatric Medicine (Internal Medicine) Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 4301039364
- Practice address
- 1210 W Saginaw St
Second Floor
Lansing, MI 48915-1927 - Phone
- (517) 364-7575
- Fax
- (517) 364-7560
- NPI assigned
- May 8, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | JM039364 | MI | |
| Internal Medicine Physician | 207R00000X | 4301039364 | MI | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4301039364 | MI | Primary |
Addresses
Primary practice location
1210 W Saginaw St
Second Floor
Lansing, MI 48915-1927
Mailing address
804 Service Rd
A201
East Lansing, MI 48824-7015
Phone (517) 884-2976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740239714 | Medicaid | MI |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JM039364 | MI | MD | Gastroenterology Physician |
| 4301039364 | MI | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823
Phone (517) 884-6100
1650 Ramblewood Dr
Ste 100
East Lansing, MI 48823
1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460
1210 W Saginaw St
Fl Second
Lansing, MI 48915
Phone (517) 364-7575
1627 Lake Lansing Rd
Ste 100
Lansing, MI 48912
Phone (517) 372-0500
1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710
1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575
800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1740239714",
"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": "1210 W SAGINAW ST",
"address_2": "SECOND FLOOR",
"city": "LANSING",
"state": "MI",
"postal_code": "489151927",
"telephone_number": "517-364-7575",
"fax_number": "517-364-7560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYLE",
"first_name": "JAMES",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "JM039364",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301039364",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301039364",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740239714",
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.