Individual provider Active NPI

Scott Thomas Maurer, MD

  • Pediatric Cardiology Physician
  • Lansing, MI
National Provider Identifier
1760437891
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
4301108861 Issued in MI
Practice address
1200 East Michigan Ave
Suite 725
Lansing, MI 48912
Phone
(517) 364-5599
NPI assigned
May 24, 2006
Last updated
May 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301108861 MI
Pediatric Cardiology Physician 2080P0202X 2012-01960 NC
Pediatric Cardiology Physician 2080P0202X 4301108861 MI Primary

Addresses

Primary practice location

1200 East Michigan Ave
Suite 725
Lansing, MI 48912

Mailing address

1105 Sixth St
Traverse City, MI 49684-2345

Other practice location 1

14700 Lake Shore Dr
Charlevoix, MI 49720-1999
Phone (231) 935-6370

Other practice location 2

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 392-8280

Other identifiers 1

IdentifierTypeStateIssuer
5921810MedicaidNC

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
I20160208000889 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 2062663115 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301108861MIMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Munson Medical Center Pediatrics CurrentSince Sep 13, 2021 Accepting new patients
Regents of the University of Michigan Pediatrics Current Accepting new patients
McLaren Central Michigan Current Accepting new patients
Munson Healthcare Charlevoix Hospital Pediatrics Current Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Jul 22, 2023 Accepting new patients
Munson Medical Center Pediatrics Current Accepting new patients
Regents of the University of Michigan Pediatrics CurrentSince Jan 26, 2016 Accepting new patients
McLaren Central Michigan CurrentSince Sep 1, 2020 Accepting new patients
Metropolitan Hospital CurrentSince Dec 1, 2019 Accepting new patients
McLaren Central Michigan CurrentSince Sep 1, 2020 Accepting new patients
Munson Medical Center CurrentSince Sep 13, 2021 Accepting new patients
Regents of the University of Michigan CurrentSince Jan 26, 2016 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Jul 22, 2023 Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

1500 E Medical Center Dr
Fl 11
Ann Arbor, MI 48109
Phone (734) 764-5176

3621 S State St
#700
Ann Arbor, MI 48108

8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

1200 E Michigan Ave
Ste 725
Lansing, MI 48912
Phone (517) 364-5599

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

560 W Mitchell St
Ste 400
Petoskey, MI 49770
Phone (231) 330-3585

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1221 Sixth St
Ste 212
Traverse City, MI 49684
Phone (231) 392-0210

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Interoperability endpoints

  • Direct secure messaging: smaurer@direct.mhc.net
  • Direct secure messaging: smaurer2307893@direct.trinity-health.org
  • Direct secure messaging: smaurer699212@direct.med.umich.edu

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1760437891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EAST MICHIGAN AVE",
            "address_2": "SUITE 725",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48912",
            "telephone_number": "517-364-5599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14700 Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201999",
            "country_code": "US",
            "telephone_number": "231-935-6370",
            "fax_number": "231-935-6451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-392-8280",
            "fax_number": "231-935-2127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAURER",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301108861",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NC",
            "license": "2012-01960",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MI",
            "license": "4301108861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921810",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.