Active NPI
Michael Kent McLeod, M.D.
- Surgery Physician
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301039382
- Practice address
- 4660 South Hagadorn Road
Suite 600
East Lansing, MI 48823 - Phone
- (517) 267-2460
- Fax
- (517) 267-2462
- NPI assigned
- Mar 17, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301039382 | MI | Primary |
Addresses
Primary practice location
4660 South Hagadorn Road
Suite 600
East Lansing, MI 48823
Mailing address
804 Service Rd
# A109F
East Lansing, MI 48824-7015
Phone (517) 884-2976
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0208151371 | Other | BCBS | |
| 4183947 | Medicaid | MI |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051208000405 | MI | Practitioner - General Surgery | 5991726713 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan State University | Current | Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Msu Health Care Inc | Current | Accepting new patients | |
| Michigan State University | Surgery | Current | Accepting new patients |
| Msu Health Care Inc. | Current | Accepting new patients |
Locations
804 Service Rd
#A109F
East Lansing, MI 48824
Phone (517) 884-2976
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
4660 S Hagadorn Rd
Ste 600
East Lansing, MI 48823
Phone (517) 267-2460
1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460
1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180
Organizations & group practices 5
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.
-
- Local Education Agency (LEA)
- East Lansing, MI
- NPI 1184182982
-
- Physical Therapist
- East Lansing, MI
- NPI 1689206419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1881663110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD",
"address_2": "# A109F",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-884-2976",
"fax_number": "517-432-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 SOUTH HAGADORN ROAD",
"address_2": "SUITE 600",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "48823",
"telephone_number": "517-267-2460",
"fax_number": "517-267-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "MICHAEL",
"middle_name": "KENT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301039382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0208151371",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4183947",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 20, 2018; 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.