Individual provider Active NPI

Richard Allen Pittsley, M.D.

  • Rheumatology Physician
  • East Lansing, MI
National Provider Identifier
1902821671
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
RP040011 Issued in MI
Practice address
1401 E Lansing Dr
Suite 107
East Lansing, MI 48823-7787
Phone
(517) 351-8881
Fax
(517) 351-8883
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X RP040011 MI Primary

Addresses

Primary practice location

1401 E Lansing Dr
Suite 107
East Lansing, MI 48823-7787

Mailing address

1401 E Lansing Dr
Suite 107
East Lansing, MI 48823-7787
Phone (517) 351-8881

Other identifiers 3

IdentifierTypeStateIssuer
1103378991OtherMIBLUE CROSS
3200541OtherMIPHYSICIAN'S HEALTH PLAN
1623639MedicaidMI

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
I20111129000357 MI Practitioner - RheumatologyPractitioner - Internal Medicine 6103090220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Michigan Medical School, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard a. Pittsley, M.D., P.C.Group PAC ID 2769656883, 2 clinicians

Practice addresses (Care Compare)

1401 E Lansing Dr
Suite 107
East Lansing, MI 48823-7788
Phone (517) 351-8881

Hospital & facility affiliations

  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RP040011MIMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a. Pittsley, M.D., P.C. Rheumatology CurrentSince Jul 17, 2000 Accepting new patients

Locations

1401 E Lansing Dr
Ste 107
East Lansing, MI 48823
Phone (517) 351-8881

Organizations & group practices 1

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 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902821671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E LANSING DR",
            "address_2": "SUITE 107",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237787",
            "telephone_number": "517-351-8881",
            "fax_number": "517-351-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E LANSING DR",
            "address_2": "SUITE 107",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237787",
            "telephone_number": "517-351-8881",
            "fax_number": "517-351-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTSLEY",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "RP040011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1103378991",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S HEALTH PLAN",
            "identifier": "3200541",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1623639",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.