Organization Active NPI

Cardiology Group of Lansing P C

  • Cardiovascular Disease Physician
  • Jackson, MI
National Provider Identifier
1962469189
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOLOGY GROUP OF LANSING P C
Practice address
2575 Spring Arbor Rd Ste 100
Jackson, MI 49203-3652
Phone
(517) 787-7844
Fax
(517) 783-5044
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Haresh Jani, MDNPI 1760486583
Title
President/Owner
Phone
(517) 482-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2575 Spring Arbor Rd Ste 100
Jackson, MI 49203-3652

Mailing address

5894 Marengo St
Jackson, MI 49201-8315
Phone (517) 745-3403

Other identifiers 1

IdentifierTypeStateIssuer
060C310230OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040430000032 MI Part B Supplier - Clinic/Group Practice 9335136316 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, MI

National Provider Directory

National Provider Directory

Locations

2575 Spring Arbor Rd
Ste 100
Jackson, MI 49203
Phone (517) 482-2020

1433 E Michigan Ave
Lansing, MI 48912
Phone (517) 372-1350

1433 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 482-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1962469189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5894 MARENGO ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018315",
            "telephone_number": "517-745-3403",
            "fax_number": "517-482-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 SPRING ARBOR RD STE 100",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033652",
            "telephone_number": "517-787-7844",
            "fax_number": "517-783-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY GROUP OF LANSING P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "HARESH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "517-482-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "060C310230",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.