NPIMap

Individual provider Active NPI

Lindsay Renee Rudert, D.O.

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1902240765
Registry record updated Feb 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101020269 Issued in MI
Practice address
1200 E Michigan Ave
Suite 245a
Lansing, MI 48912-1800
Phone
(517) 980-5214
NPI assigned
Apr 24, 2013
Last updated
Feb 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101020269 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave
Suite 245a
Lansing, MI 48912-1800

Mailing address

800 E Columbia St
Mason, MI 48854-1381
Phone (517) 980-5214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150727000436 MI Practitioner - General PracticePractitioner - Sports Medicine 8628381209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Sports Medicine
Education
Michigan State University College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 Mercy Dr
Suite 100
Muskegon, MI 49444-1833
Phone (231) 733-1326

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Muskegon, PC CurrentSince Aug 21, 2017 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Jul 1, 2015 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Orthopaedic Associates of Muskegon, PC CurrentSince Aug 21, 2017 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2682 E Grand River Ave
East Lansing, MI 48823
Phone (517) 333-6562

1445 Sheldon Rd
Ste 200
Grand Haven, MI 49417
Phone (616) 846-1860

1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

1400 Mercy Dr
Ste 100
Muskegon, MI 49444
Phone (231) 733-1326

Interoperability endpoints

  • Direct secure messaging: lindsay.rudert.1@29636.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424563200000",
    "number": "1902240765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E COLUMBIA ST",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541381",
            "telephone_number": "517-980-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "address_2": "SUITE 245A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-980-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDERT",
        "first_name": "LINDSAY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2015-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101020269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.