Active NPI
Lightyear Health Clinic Michigan, PC
- Physical Medicine & Rehabilitation Physician
- Detroit, MI
National Provider Identifier
1861190969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- LIGHTYEAR HEALTH CLINIC MICHIGAN, PC
- Practice address
- 400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1599 - Phone
- (888) 380-0988
- NPI assigned
- Feb 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vaibhav Rikhye
- Title
- Vice President Operations
- Phone
- (888) 380-0988
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Gerontology Nurse Practitioner | 363LG0600X |
Addresses
Primary practice location
400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1599
Mailing address
2950 Buskirk Ave Ste 300
Walnut Creek, CA 94597-6900
Phone (888) 380-0988
National Provider Directory
National Provider DirectoryLocations
150 Martin Rd
Lackawanna, NY 14218
Phone (716) 282-9568
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Public Health & General Preventive Medicine Physician
- New York, NY
- NPI 1942590021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707696000000",
"number": "1861190969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 BUSKIRK AVE STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945976900",
"telephone_number": "888-380-0988",
"fax_number": "289-236-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 RENAISSANCE CTR STE 2600",
"city": "DETROIT",
"state": "MI",
"postal_code": "482431599",
"telephone_number": "888-380-0988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTYEAR HEALTH CLINIC MICHIGAN, PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-17",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A",
"authorized_official_last_name": "RIKHYE",
"authorized_official_first_name": "VAIBHAV",
"authorized_official_title_or_position": "VICE PRESIDENT OPERATIONS",
"authorized_official_telephone_number": "888-380-0988"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.