NPIMap

Organization Active NPI

Progressive Care Medical Group of Mi, PLLC

  • Internal Medicine Physician
  • East Lansing, MI
National Provider Identifier
1861966244
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PROGRESSIVE CARE MEDICAL GROUP OF MI, PLLC
Practice address
2815 Northwind Dr
East Lansing, MI 48823-5003
Phone
(800) 860-3274
NPI assigned
Jan 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Deepak Rameshchandra Patel
Title
Owner
Phone
(212) 734-6621

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

2815 Northwind Dr
East Lansing, MI 48823-5003

Mailing address

PO Box 1040
Syosset, NY 11791-0010
Phone (800) 860-3274

Other names 1

  • Progressive Care Medical Group of MI, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190314001333 MI Part B Supplier - Clinic/Group Practice 5294075040 Receives reassigned benefits from 11 practitioners
Practice locations: Okemos, MI; Portage, MI; Montrose, MI; Lansing, MI; Kalamazoo, MI; Jackson, MI; Haslett, MI; Greenville, MI…

National Provider Directory

National Provider Directory

Locations

703 Robinson Rd
Jackson, MI 49203
Phone (517) 787-0722

1948 Cooper St
Jackson, MI 49202
Phone (517) 782-1900

734 Starkweather Dr
Lansing, MI 48917
Phone (517) 323-9133

734 Starkweather Dr
Lansing, MI 48917
Phone (517) 323-9133

30 E 60th St
Ste 1105
New York, NY 10022
Phone (212) 946-1063

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1861966244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1040",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117910010",
            "telephone_number": "800-860-3274",
            "fax_number": "888-910-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 NORTHWIND DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235003",
            "telephone_number": "800-860-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE CARE MEDICAL GROUP OF MI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_middle_name": "RAMESHCHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-734-6621"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Care Medical Group of MI, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.