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1215 E. Michigan Ave 8w Tower Lansing MI 48912 | |
| (517) 364-2614 | |
| (517) 364-3215 |
| Full Name | |
|---|---|
| Speciality | Long Term Care Hospital |
| Location | 1215 E. Michigan Ave, Lansing, Michigan |
| Authorized Official Name and Position | Misty Gunter Russian (SUPERVISOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5172536308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 253-6320 | 1215 E. Michigan Ave 8w Tower Lansing MI 48912 Ph: (517) 364-2614 |
| NPI Number | 1437655842 |
|---|---|
| Provider Enumeration Date | 04/04/2018 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 2466347638 |
|---|---|
| Medicare Enrollment ID | O20180607002998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437655842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 282E00000X | Long Term Care Hospital | 1060000149 (Michigan) | Primary |
| Provider Name | James Demuth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568568665 PECOS PAC ID: 3173414984 Enrollment ID: I20040322001552 |
| Provider Name | Kalyani Vangala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588696918 PECOS PAC ID: 5991789711 Enrollment ID: I20040617000690 |
| Provider Name | Kelly L Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750474771 PECOS PAC ID: 4789663758 Enrollment ID: I20040714001445 |
| Provider Name | Romal Bhan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215133228 PECOS PAC ID: 5799725933 Enrollment ID: I20050506000712 |
| Provider Name | Lisa M Edgerton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093816266 PECOS PAC ID: 0648207084 Enrollment ID: I20051212000318 |
| Provider Name | Debbie H Hallak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154493971 PECOS PAC ID: 5991728792 Enrollment ID: I20060109000868 |
| Provider Name | Ghanem Almounajed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235146150 PECOS PAC ID: 0446358766 Enrollment ID: I20070611000630 |
| Provider Name | Matthew Mcdonell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730338393 PECOS PAC ID: 2567525579 Enrollment ID: I20090116000079 |
| Provider Name | Ronda K Albrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235377516 PECOS PAC ID: 8022173137 Enrollment ID: I20090224000268 |
| Provider Name | Mohammed A Hashem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225293277 PECOS PAC ID: 5991855124 Enrollment ID: I20090610000380 |
| Provider Name | Adriss E Faraj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902014509 PECOS PAC ID: 9739231929 Enrollment ID: I20090720000168 |
| Provider Name | Jenifer E Krause |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790759801 PECOS PAC ID: 8729973193 Enrollment ID: I20091124000350 |
| Provider Name | Syed T Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326097627 PECOS PAC ID: 0547270100 Enrollment ID: I20110427000729 |
| Provider Name | Praveen K Vemula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891958922 PECOS PAC ID: 5395923759 Enrollment ID: I20110707000279 |
| Provider Name | Manohar Reddy Chintu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841441912 PECOS PAC ID: 8224206297 Enrollment ID: I20110718000459 |
| Provider Name | Papia Kar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932344488 PECOS PAC ID: 9335319508 Enrollment ID: I20110825000192 |
| Provider Name | Mythri A Ramegowda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801174693 PECOS PAC ID: 5698937001 Enrollment ID: I20120501000713 |
| Provider Name | Tolam Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437311339 PECOS PAC ID: 3476718602 Enrollment ID: I20120712000822 |
| Provider Name | Aisha Mursaleen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376775148 PECOS PAC ID: 2961648993 Enrollment ID: I20130418000191 |
| Provider Name | Devang Vora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952613556 PECOS PAC ID: 2062655830 Enrollment ID: I20130826000913 |
| Provider Name | Shaza Rafat Khan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366750689 PECOS PAC ID: 1759524499 Enrollment ID: I20130828000972 |
| Provider Name | Maan Ekkah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962632042 PECOS PAC ID: 3678707593 Enrollment ID: I20131009000364 |
| Provider Name | Sonya Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609195395 PECOS PAC ID: 0345478046 Enrollment ID: I20131231001176 |
| Provider Name | Kristy Beckholt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235441528 PECOS PAC ID: 5991933731 Enrollment ID: I20140124000566 |
| Provider Name | Youssef Abdul-mohsen Abbiss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982991881 PECOS PAC ID: 8224256029 Enrollment ID: I20140819002768 |
| Provider Name | Anas Alsara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932498599 PECOS PAC ID: 9638399819 Enrollment ID: I20141010001120 |
| Provider Name | Ahmed M Salama |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801026752 PECOS PAC ID: 7315168721 Enrollment ID: I20141029000779 |
| Provider Name | Zeeshan Noor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366718454 PECOS PAC ID: 8022268986 Enrollment ID: I20150430000649 |
| Provider Name | Nicholas Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861756595 PECOS PAC ID: 2961714068 Enrollment ID: I20150702000290 |
| Provider Name | Waleed A Obaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003187295 PECOS PAC ID: 3173830650 Enrollment ID: I20150916000400 |
| Provider Name | Elisabeth R Maodus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457712267 PECOS PAC ID: 2264730431 Enrollment ID: I20160421001018 |
| Provider Name | Riad Hassan Al Natour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891059077 PECOS PAC ID: 2365680600 Enrollment ID: I20160617001641 |
| Provider Name | Allison S Keel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629411921 PECOS PAC ID: 7911227566 Enrollment ID: I20160714000047 |
| Provider Name | Victor A Elgabalawi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104143296 PECOS PAC ID: 8022301530 Enrollment ID: I20160721000265 |
| Provider Name | James K Taulbee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972843167 PECOS PAC ID: 6709179237 Enrollment ID: I20160721001225 |
| Provider Name | Suneil K Aggarwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396152328 PECOS PAC ID: 4486947348 Enrollment ID: I20160729001075 |
| Provider Name | Jawad Vaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750600029 PECOS PAC ID: 4880828193 Enrollment ID: I20160808001901 |
| Provider Name | Stephanie A Branam |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750642831 PECOS PAC ID: 1759601594 Enrollment ID: I20170117000253 |
| Provider Name | Robert Russell Hillman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578837332 PECOS PAC ID: 3476836545 Enrollment ID: I20170215001999 |
| Provider Name | Suresh K Subedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699181552 PECOS PAC ID: 6406073253 Enrollment ID: I20170519000148 |
| Provider Name | Pritha Chitagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811316813 PECOS PAC ID: 4385940063 Enrollment ID: I20170726002677 |
| Provider Name | Brian M Kamer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124368360 PECOS PAC ID: 4082988365 Enrollment ID: I20170926000949 |
| Provider Name | Julia Ginzburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205038445 PECOS PAC ID: 4688933252 Enrollment ID: I20180108000477 |
| Provider Name | Kristina Lombardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952891376 PECOS PAC ID: 0648535369 Enrollment ID: I20180530002838 |
| Provider Name | Laura Bohatch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942681226 PECOS PAC ID: 2668727827 Enrollment ID: I20180612003156 |
| Provider Name | Kathryn Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750760542 PECOS PAC ID: 1951656669 Enrollment ID: I20180621000773 |
| Provider Name | Heba Mahmoud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659763365 PECOS PAC ID: 5597066159 Enrollment ID: I20180816003069 |
| Provider Name | Amrita Jaswa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467834408 PECOS PAC ID: 6608126933 Enrollment ID: I20180907001918 |
| Provider Name | Brian J Grondahl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750710554 PECOS PAC ID: 5890046676 Enrollment ID: I20180918000667 |
| Provider Name | Reuben Azad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598104515 PECOS PAC ID: 6901049345 Enrollment ID: I20181129003275 |
| Provider Name | Brian M Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043780984 PECOS PAC ID: 3577800499 Enrollment ID: I20190130000596 |
| Provider Name | Michael J Kehdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770929820 PECOS PAC ID: 2062751308 Enrollment ID: I20190304000756 |
| Provider Name | Farashin Farhan Silevany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265819171 PECOS PAC ID: 0042550576 Enrollment ID: I20190320002033 |
| Provider Name | Sana Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548601552 PECOS PAC ID: 0941502108 Enrollment ID: I20190815002616 |
| Provider Name | Brittani J Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972940179 PECOS PAC ID: 9335469394 Enrollment ID: I20190924001344 |
| Provider Name | Monica K Urbanowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376063677 PECOS PAC ID: 8527337112 Enrollment ID: I20200713002902 |
| Provider Name | Lissette E Jimenez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932631322 PECOS PAC ID: 6507133279 Enrollment ID: I20200722001128 |
| Provider Name | Emir Kurtovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952783169 PECOS PAC ID: 0446676225 Enrollment ID: I20200723002762 |
| Provider Name | Mahwish A Hafeez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518491059 PECOS PAC ID: 1052684859 Enrollment ID: I20200728001015 |
| Provider Name | Shiva Shrotriya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538689740 PECOS PAC ID: 6800211277 Enrollment ID: I20200731001864 |
| Provider Name | Sitara Kishore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831551993 PECOS PAC ID: 2668715244 Enrollment ID: I20200923001392 |
| Provider Name | Ragad Asmaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790187748 PECOS PAC ID: 7719223080 Enrollment ID: I20200929002221 |
| Provider Name | Jackilyn D Alverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457930349 PECOS PAC ID: 6103235569 Enrollment ID: I20210514001518 |
| Provider Name | James Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063907947 PECOS PAC ID: 4587065644 Enrollment ID: I20210625002538 |
| Provider Name | Nishraj Basnet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316433816 PECOS PAC ID: 2769884022 Enrollment ID: I20210708001951 |
| Provider Name | Gustavo F Tataje Rengifo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033601489 PECOS PAC ID: 8921401001 Enrollment ID: I20210727002539 |
| Provider Name | Shahnaz Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154827038 PECOS PAC ID: 1153678073 Enrollment ID: I20210809001951 |
| Provider Name | Sara Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982274056 PECOS PAC ID: 4587069323 Enrollment ID: I20210817003468 |
| Provider Name | Rakesh Kumar Gami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578115341 PECOS PAC ID: 1759760218 Enrollment ID: I20220614001838 |
| Provider Name | Devin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629463443 PECOS PAC ID: 3779898796 Enrollment ID: I20220615001190 |
| Provider Name | Fayzan Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376005835 PECOS PAC ID: 0143555318 Enrollment ID: I20220621002363 |
| Provider Name | Jay M Sartor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538828280 PECOS PAC ID: 7214319219 Enrollment ID: I20220808003146 |
| Provider Name | Mohanad M Saleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407239791 PECOS PAC ID: 1254622269 Enrollment ID: I20220809000844 |
| Provider Name | Kristin Denice Coble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154058923 PECOS PAC ID: 2163805672 Enrollment ID: I20220816003505 |
| Provider Name | Mohamad Hani Lababidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295081412 PECOS PAC ID: 7810270485 Enrollment ID: I20220907001853 |
| Provider Name | Jordan Demchuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154942266 PECOS PAC ID: 9739549528 Enrollment ID: I20230712000438 |
| Provider Name | Michelle L Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528752573 PECOS PAC ID: 7416317284 Enrollment ID: I20230712003209 |
| Provider Name | Casey Branach |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1033646427 PECOS PAC ID: 6800163007 Enrollment ID: I20230808003053 |
| Provider Name | Eldar Kurtovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427579663 PECOS PAC ID: 5799147575 Enrollment ID: I20230810001277 |
Mi Post Acute Specialists Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 707 Armstrong Rd, Lansing, MI 48911 Phone: 800-411-6768 | |
Lansing Family Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4202 Collins Rd, Suite 115, Lansing, MI 48910 Phone: 517-484-4520 Fax: 517-484-3930 | |
Ingham County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5303 S Cedar St, Lansing, MI 48911 Phone: 517-887-4311 | |