Individual provider Active NPI

Svietlana Masoh Vincents, MD

  • Internal Medicine Physician
  • Lansing, MI
National Provider Identifier
1952080046
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4351051384 Issued in MI
Practice address
1322 E Michigan Ave Ste 300
Lansing, MI 48912-2109
Phone
(517) 253-6388
NPI assigned
Jul 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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 4351051384 MI Primary

Addresses

Primary practice location

1322 E Michigan Ave Ste 300
Lansing, MI 48912-2109

Mailing address

1115 Chester Rd Apt 11
Lansing, MI 48912-4827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4351051384MIMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: svincents102373@sparrowdirecthie.org

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1952080046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 CHESTER RD APT 11",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E MICHIGAN AVE STE 300",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122109",
            "telephone_number": "517-253-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENTS",
        "first_name": "SVIETLANA",
        "middle_name": "MASOH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4351051384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.