Individual provider Active NPI

Kevin Foley, MD

  • Internal Medicine Physician
  • East Lansing, MI
National Provider Identifier
1750335865
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301407077 Issued in MI
Practice address
804 Service Rd
A142
East Lansing, MI 48824-7015
Phone
(517) 353-3050
Fax
(517) 432-3742
NPI assigned
May 22, 2006
Last updated
Jul 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301407077 MI Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 4301407077 MI

Addresses

Primary practice location

804 Service Rd
A142
East Lansing, MI 48824-7015

Mailing address

804 Service Rd
A201
East Lansing, MI 48824-7015
Phone (517) 884-2976

Other identifiers 9

IdentifierTypeStateIssuer
4375006MedicaidMI
4879076MedicaidMI
4437065MedicaidMI
4568970MedicaidMI
4587492MedicaidMI
4540413MedicaidMI
4877877MedicaidMI
1750335865MedicaidMI
4877376MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060918000380 MI Practitioner - Internal MedicinePractitioner - Geriatric PsychiatryPractitioner - Geriatric Medicine 5890790299 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Aug 1, 2013 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Sep 1, 2009 Accepting new patients
Michigan State University CurrentSince Sep 1, 2009 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Sep 1, 2009 Accepting new patients
Advantage Health/Saint Mary's Medical Group CurrentSince Aug 1, 2013 Accepting new patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Michigan State University Internal Medicine CurrentSince Sep 1, 2009 Accepting new patients
Advantage Health Physicians PC Internal Medicine Past Accepting new patients
Bell Medical Center PastSince Apr 30, 2013 Accepting new patients
Saint Mary's Health Services Past Accepting new patients
Trinity Health - Michigan Past Accepting new patients
Computer Health Services PC PastSince Mar 1, 2000 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823
Phone (517) 884-6100

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

804 Service Rd
Ste A217
East Lansing, MI 48824
Phone (517) 353-8122

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

220 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 685-5576

245 State St SE
Ste 1A
Grand Rapids, MI 49503

3380 44th St SW
Grandville, MI 49418
Phone (616) 685-8250

5091 Willoughby Rd
Holt, MI 48842
Phone (517) 694-2144

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 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1750335865",
    "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": "804 SERVICE RD",
            "address_2": "A142",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-3050",
            "fax_number": "517-432-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301407077",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301407077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4375006",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4879076",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4437065",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4568970",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4587492",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4540413",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4877877",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750335865",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4877376",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.