Organization Active NPI

Gary L Cesar DPM PC

  • Podiatrist
  • Lansing, MI
National Provider Identifier
1992975064
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
GC001360 Issued in MI
Legal business name
GARY L CESAR DPM PC
Practice address
1515 Lake Lansing Rd
Lansing, MI 48912-3752
Phone
(517) 487-5171
Fax
(517) 371-1366
NPI assigned
Mar 5, 2008
Organization subpart
Yes
Parent organization
GARY L CESAR DPM PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Gary L Cesar, DPM PCNPI 1053395970
Title
Owner
Phone
(517) 487-5171

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X GC001360 MI Primary

Addresses

Primary practice location

1515 Lake Lansing Rd
Lansing, MI 48912-3752

Mailing address

1515 Lake Lansing Rd
Lansing, MI 48912-3752
Phone (517) 487-5171

Other identifiers 1

IdentifierTypeStateIssuer
3012355MedicaidMI

Other names 1

  • Michigan Foot and Ankle Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130228000035 MI Part B Supplier - Clinic/Group Practice 8123273901 Receives reassigned benefits from 1 practitioner
Practice locations: Lansing, MI

National Provider Directory

National Provider Directory
Part of
Gary Cesar DPM

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": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1992975064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LAKE LANSING RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123752",
            "telephone_number": "517-487-5171",
            "fax_number": "517-371-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LAKE LANSING RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123752",
            "telephone_number": "517-487-5171",
            "fax_number": "517-371-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L CESAR DPM PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARY L CESAR DPM PC",
        "enumeration_date": "2008-03-05",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "CESAR",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-487-5171",
        "authorized_official_credential": "DPM PC"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "GC001360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3012355",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Foot and Ankle Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 27, 2009; 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.