Justin Sasky Kisaka, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101016544 Issued in MI

Practice address

3955 Patient Care Dr Ste a
Lansing, MI 48911-4271

Phone

(517) 374-7600

Fax

(885) 480-9150

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

No

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

Internal Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eaton Rapids Medical CenterGroup PAC ID 5991692634, shared by 4 NPIs, 34 clinicians

Capital Internal Medicine Associates P.C.Group PAC ID 8022097963, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
• Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
• Eaton Rapids Medical Center Hospital, Eaton Rapids, MI, CCN 231324
• Eaton Rapids Medical Center Nursing home, CCN 23Z324

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.kisaka@cimamed.eclinicaldirectplus.com

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.

• Capital Internal Medicine Associates P.C.

  • Internal Medicine Physician
  • Lansing, MI
  • NPI 1780629832
  Medicare reassignment Care Compare group NPD
• Eaton Rapids Medical Center

  • Critical Access Hospital
  • Eaton Rapids, MI
  • NPI 1417044660
  Medicare reassignment NPD
• Eaton Rapids Medical Center

  • Rural Health Clinic/Center
  • Eaton Rapids, MI
  • NPI 1588810709
  Medicare reassignment NPD
• Eaton Rapids Medical Center

  • Physician Assistant
  • Jackson, MI
  • NPI 1316719859
  NPD
• Eaton Rapids Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Eaton Rapids, MI
  • NPI 1629294046
  NPD (past)
• McLaren Greater Lansing

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1134104672
  NPD (past)

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

• Eaton Rapids Medical Center

  • Critical Access Hospital
  • Eaton Rapids, MI
  • NPI 1417044660
  Care Compare affiliation
• Eaton Rapids Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Eaton Rapids, MI
  • NPI 1629294046

  Nursing home

  Care Compare affiliation
• Eaton Rapids Medical Center

  • Emergency Medicine Physician
  • Eaton Rapids, MI
  • NPI 1730237165

  Hospital

  Care Compare affiliation
• Edward W Sparrow Hospital Association

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1073588711
  Care Compare affiliation
• Edward W Sparrow Hospital Association

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1760710719
  Care Compare affiliation
• McLaren Greater Lansing

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1134104672
  Care Compare affiliation

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1912128539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE DR STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114271",
            "telephone_number": "517-374-7600",
            "fax_number": "885-480-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE DR STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114271",
            "telephone_number": "517-374-7600",
            "fax_number": "885-480-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISAKA",
        "first_name": "JUSTIN",
        "middle_name": "SASKY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lee Kirk, LMSW
• Khristine Marie Kirkbride, DPT, OMPT
• Lora Kirkbride
• Vincent Jeremiah Kirrmann I
• Celina Ann Kirsch, PA
• Maryam Ruby Kishta-Derani, D.D.S.
• Anna Kislik
• Isabella Kiss
• Amy Klaes, MA
• Raina Klaver, DO

• Internal Medicine Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.