Active NPI
Rafael A Javier, M.D.
- Nephrology Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 4301038160
- Practice address
- 1703 E Michigan Ave
Lansing, MI 48912-2841 - Phone
- (517) 913-3860
- Fax
- (517) 484-6864
- NPI assigned
- May 18, 2006
- Last updated
- Sep 23, 2009
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 4301038160 | MI | Primary |
Addresses
Primary practice location
1703 E Michigan Ave
Lansing, MI 48912-2841
Mailing address
1703 E Michigan Ave
Lansing, MI 48912-2841
Phone (517) 913-3860
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301038160 | MI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Mid-Michigan Physicians, PC | Nephrology | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881
901 S Oakland St
Ste 102
Saint Johns, MI 48879
Phone (989) 227-3435
Organizations & group practices 6
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.
-
dba SMG St Johns
- Multi-Specialty Clinic/Center
- Saint Johns, MI
- NPI 1306893078
-
dba University of Michigan Health-Sparrow Ionia
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
-
dba University of Michigan Health-Sparrow Clinton
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
-
dba Sparrow Medical Group Ionia
- Family Medicine Physician
- Ionia, MI
- NPI 1033271143
-
dba Sparrow Ionia Hospital General Surgery
- Surgery Physician
- Ionia, MI
- NPI 1891879029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1770536997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 E MICHIGAN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489122841",
"telephone_number": "517-913-3860",
"fax_number": "517-484-6864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 E MICHIGAN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489122841",
"telephone_number": "517-913-3860",
"fax_number": "517-484-6864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVIER",
"first_name": "RAFAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "4301038160",
"primary": true
}
],
"identifiers": [],
"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 Sep 23, 2009; 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.