Individual provider Active NPI

Salil Dua, MD

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1780658625
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301072671 Issued in MI
Practice address
2121 E Grand River Ave
Lansing, MI 48912-3231
Phone
(248) 845-8507
Fax
(248) 243-8719
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301072671 MI Primary

Addresses

Primary practice location

2121 E Grand River Ave
Lansing, MI 48912-3231

Mailing address

2121 E Grand River Ave
Lansing, MI 48912-3231
Phone (248) 845-8507

Other identifiers 2

IdentifierTypeStateIssuer
4421646MedicaidMI
4354650MedicaidMI

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 Medicine

State licenses

LicenseStateTypeSpecialty
4301072671MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Care Physicians, PLLC PastSince Mar 15, 2005 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: salil.dua@49428401684484.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1780658625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E GRAND RIVER AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123231",
            "telephone_number": "248-845-8507",
            "fax_number": "248-243-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E GRAND RIVER AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123231",
            "telephone_number": "248-845-8507",
            "fax_number": "248-243-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUA",
        "first_name": "SALIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301072671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4421646",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4354650",
            "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 Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.