NPIMap

Individual provider Active NPI

Brian James Cousino, D.O.

  • Nephrology Physician
  • Lansing, MI
National Provider Identifier
1962775122
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
5101019958 Issued in MI
Practice address
3960 Patient Care Dr Ste 108
Lansing, MI 48911-4276
Phone
(517) 485-8217
NPI assigned
Feb 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 5101019958 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3960 Patient Care Dr Ste 108
Lansing, MI 48911-4276

Mailing address

3960 Patient Care Dr Ste 108
Lansing, MI 48911-4276
Phone (517) 485-8217

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
I20160419001758 MI Practitioner - NephrologyPractitioner - Internal Medicine 1759689169 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ingham Nephrology and Hypertension PCGroup PAC ID 6800119637, 7 clinicians

Practice addresses (Care Compare)

3960 Patient Care Dr
Suite 108
Lansing, MI 48911-4276
Phone 5174858217430

Hospital & facility affiliations

  • Lansing Dialysis of FMC Dialysis facility, Lansing, MI, CCN 232634
  • 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019958MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W. a. Foote Memorial Hospital, Inc Multi-Specialty Current Accepting new patients
Independent Emergency Physicians, P.C. Multi-Specialty CurrentSince Apr 9, 2016 Accepting new patients
Ingham Nephrology and Hypertension PC Multi-Specialty CurrentSince Jul 1, 2017 Accepting new patients
W.a. Foote Memorial Hospital, Inc Multi-Specialty CurrentSince Jun 1, 2017 Accepting new patients
W.a. Foote Memorial Hospital, Inc Multi-Specialty CurrentSince Jun 1, 2017 Accepting new patients
Michael R Hourani MD PC Multi-Specialty PastSince Jun 1, 2005 Accepting new patients

Locations

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

3960 Patient Care Dr
Ste 108
Lansing, MI 48911
Phone (517) 394-8589

405 W Greenlawn Ave
Ste 230
Lansing, MI 48910
Phone (517) 485-8217

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • Direct secure messaging: briancousino@mrhmdpc.allscriptsdirect.net

Organizations & group practices 6

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 6

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": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1962775122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 PATIENT CARE DR STE 108",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114276",
            "telephone_number": "517-485-8217",
            "fax_number": "517-489-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 PATIENT CARE DR STE 108",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114276",
            "telephone_number": "517-485-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINO",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "5101019958",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.