NPIMap

Individual provider Active NPI

Joanne Dettro

  • Obstetrics & Gynecology Physician
  • Lansing, MI
National Provider Identifier
1942730635
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301505030 Issued in MI
Practice address
1215 E Michigan Avenue
Sparrow Health Systems
Lansing, MI 48909
Phone
(517) 364-2570
NPI assigned
Jun 14, 2017
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301505030 MI Primary

Addresses

Primary practice location

1215 E Michigan Avenue
Sparrow Health Systems
Lansing, MI 48909

Mailing address

1215 E Michigan Avenue
Sparrow Health Systems
Lansing, MI 48909

Other names 1

  • Joanne D'Souza Former name

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
I20210701003421 MI Practitioner - Obstetrics/Gynecology 8921409525 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, shared by 20 NPIs, 698 clinicians

Practice addresses (Care Compare)

1200 E Michigan Ave
445 Sparrow Lansing OB/GYN Associates
Lansing, MI 48912-1897
Phone (517) 364-5210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301505030MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital CurrentSince Jul 1, 2021 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2021 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Dec 1, 2021 Accepting new patients
Sparrow Ionia Hospital CurrentSince Nov 29, 2025 Accepting new patients
Sparrow Ionia Hospital Obstetrics & Gynecology CurrentSince Jul 1, 2021 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W. Sparrow Hospital Association Obstetrics & Gynecology CurrentSince Jul 1, 2021 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1498

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1200 E Michigan Ave
Ste 325
Lansing, MI 48912
Phone (517) 364-5160

1200 E Michigan Ave
Ste 445
Lansing, MI 48912
Phone (517) 364-5210

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1600 W Grand River Ave
Ste 1
Okemos, MI 48864
Phone (517) 381-6870

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

Hospital & facility affiliations 2

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1942730635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVENUE",
            "address_2": "SPARROW HEALTH SYSTEMS",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVENUE",
            "address_2": "SPARROW HEALTH SYSTEMS",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48909",
            "telephone_number": "517-364-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETTRO",
        "first_name": "JOANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301505030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "D'SOUZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.