Individual provider Active NPI

Gary Stephen Ferenchick, M.D.

  • Internal Medicine Physician
  • East Lansing, MI
National Provider Identifier
1891703666
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301049491 Issued in MI
Practice address
804 Service Road
Room A225
East Lansing, MI 48824-7040
Phone
(517) 353-4941
Fax
(517) 432-3145
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301049491 MI Primary

Addresses

Primary practice location

804 Service Road
Room A225
East Lansing, MI 48824-7040

Mailing address

804 Service Road
Room B338 Dept of Medicine
East Lansing, MI 48824
Phone (517) 432-9124

Other identifiers 2

IdentifierTypeStateIssuer
1863850MedicaidMI
1891703666MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081202000086 MI Practitioner - Internal Medicine 3375604911 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

1200 E Michigan Ave
Lansing, MI 48912-1800
Phone (517) 364-5184

4650 S Hagadorn Rd
Suite 100
East Lansing, MI 48823-5386
Phone (517) 353-4941

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Greater Lansing Internal Medicine CurrentSince Apr 10, 2023 Accepting new patients
McLaren Greater Lansing Internal Medicine CurrentSince Apr 10, 2023 Accepting new patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University Internal Medicine Current Accepting new patients
Michigan State University Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients
Edward W Sparrow Hospital Association Internal Medicine CurrentSince Nov 2, 2020 Accepting new patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University CurrentSince Jul 1, 2008 Accepting new patients
McLaren Greater Lansing Current Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

4650 S Hagadorn Rd
Ste 100
East Lansing, MI 48823
Phone (517) 353-4830

804 Service Rd
#A225
East Lansing, MI 48824
Phone (517) 353-4941

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

804 Service Rd
Rm A225
East Lansing, MI 48824
Phone (517) 353-4941

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

3220 Discovery Dr
Ste 200
Lansing, MI 48910
Phone (517) 975-8910

1200 E Michigan Ave
Ste 510
Lansing, MI 48912
Phone (517) 364-5184

3101 Discovery Dr
Ste 400
Lansing, MI 48910
Phone (517) 975-3750

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560

Interoperability endpoints

  • Direct secure messaging: gary.ferenchick.1@25394.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1891703666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE ROAD",
            "address_2": "ROOM B338 DEPT OF MEDICINE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48824",
            "telephone_number": "517-432-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SERVICE ROAD",
            "address_2": "ROOM A225",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247040",
            "telephone_number": "517-353-4941",
            "fax_number": "517-432-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERENCHICK",
        "first_name": "GARY",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301049491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1863850",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891703666",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.