Organization Active NPI

Mid Michigan Neurology Consultants PC

  • Neurology Physician
  • Lansing, MI
National Provider Identifier
1982634184
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
NP048152 Issued in MI
Legal business name
MID MICHIGAN NEUROLOGY CONSULTANTS PC
Practice address
3937 Patient Care Way
Ste 103
Lansing, MI 48911
Phone
(517) 394-9864
Fax
(517) 394-6400
NPI assigned
Jul 3, 2006
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Narendra R Patel, MDNPI 1750453528
Title
Owner Physician
Phone
(517) 394-9864

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X JK032321 MI
Neurology Physician 2084N0400X NP048152 MI Primary

Addresses

Primary practice location

3937 Patient Care Way
Ste 103
Lansing, MI 48911

Mailing address

3937 Patient Care Way
Ste 103
Lansing, MI 48911
Phone (517) 394-9864

Other identifiers 4

IdentifierTypeStateIssuer
0500075OtherMIPHP
1626873MedicaidMI
0500674OtherMIPHP
1249900MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041110000640 MI Part B Supplier - Clinic/Group Practice 5294798260 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Johns, MI; Lansing, MI; Carson City, MI

National Provider Directory

National Provider Directory

Locations

3937 Patient Care Dr
Ste 103
Lansing, MI 48911
Phone (517) 394-9864

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1982634184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 PATIENT CARE WAY",
            "address_2": "STE 103",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48911",
            "telephone_number": "517-394-9864",
            "fax_number": "517-394-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 PATIENT CARE WAY",
            "address_2": "STE 103",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48911",
            "telephone_number": "517-394-9864",
            "fax_number": "517-394-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID MICHIGAN NEUROLOGY CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NARENDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "517-394-9864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "JK032321",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "NP048152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "0500075",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1626873",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "0500674",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1249900",
            "state": "MI"
        }
    ],
    "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 Jun 2, 2008; 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.