Jensen Swampillai, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5101023822 Issued in MI

Practice address

4660 S Hagadorn Rd Ste 500
East Lansing, MI 48823-6804

Phone

(517) 884-8701

Fax

(517) 884-8787

NPI assigned

Jun 6, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Michigan State University College of Osteopathic Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Great Lakes Physical Medicine and Rehabilitation PCGroup PAC ID 5193818144, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michiganneurologyassociates.jensenswampillai@158246.advancedmd-direct.com
• Direct secure messaging: jswampillai1079607@direct.hfhs.org

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.

• Great Lakes Physical Medicine & Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Wyandotte, MI
  • NPI 1346447026
  Medicare reassignment Care Compare group NPD
• Michigan Neurology Associates PC

  • Neurology Physician
  • St Clair Shores, MI
  • NPI 1861498362
  Medicare reassignment NPD
• Msu Health Care Inc

  • Allergy & Immunology Physician
  • East Lansing, MI
  • NPI 1700418670
  Medicare reassignment NPD
• Michigan Neurology Associates, P.C.

  • Ambulatory Surgical Clinic/Center
  • Clinton TWP, MI
  • NPI 1518247295
  NPD
• Msu Health Care Inc.

  • Physical Medicine & Rehabilitation Physician
  • East Lansing, MI
  • NPI 1477185429
  NPD
• Msu Health Care Inc.

  • Physical Therapist
  • East Lansing, MI
  • NPI 1689206419
  NPD
• Great Lakes Physical Medicine and Rehabilitation

  • Rehabilitation Clinic/Center
  • Wyandotte, MI
  • NPI 1871794669
  NPD (past)
• Msu Health Care Inc.

  • Diagnostic Radiology Physician
  • East Lansing, MI
  • NPI 1275165052
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Wyandotte Hospital

  • Ambulatory Surgical Clinic/Center
  • Wyandotte, MI
  • NPI 1093901035

  Hospital

  Care Compare affiliation
• Henry Ford Wyandotte Hospital

  • General Acute Care Hospital
  • Wyandotte, MI
  • NPI 1992725352
  Care Compare affiliation

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1891287686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A109B",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-884-8701",
            "fax_number": "517-884-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S HAGADORN RD STE 500",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236804",
            "telephone_number": "517-884-8701",
            "fax_number": "517-884-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 S Hagadorn Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488235353",
            "country_code": "US",
            "telephone_number": "517-884-6100",
            "fax_number": "517-884-6233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 E Michigan Ave Ste 520",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121899",
            "country_code": "US",
            "telephone_number": "517-364-5260",
            "fax_number": "517-364-5251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAMPILLAI",
        "first_name": "JENSEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101023822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sruthi Surapaneni
• Emma Rose Surbrook
• Shelby Lynn Sutphen
• Ron William Sutton, C.O CERTIFIED ORTHO.
• Cynthia Jan Swain
• Elaina Swartzlander
• Allyson Lacey Sweers
• Swing Care Provider Group, P.C.
• Richard Brian Szagesh, DC
• Tricia Tabler, LLMSW

• Physical Medicine & Rehabilitation Physician in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.