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DR. GUSTAVO F TATAJE RENGIFO MD
NPI 1033601489
Internal Medicine in Lansing, MI

Active since June 01, 2018PECOS EnrolledAccepts Medicare Assignment
3955 PATIENT CARE DR STE A, LANSING, MI 48911(517) 374-7600 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 23, 2021, Jun 30, 2021, Mar 5, 2019 (3 updates tracked since 2019).

About Dr. Gustavo F Tataje Rengifo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GUSTAVO F TATAJE RENGIFO MD (NPI 1033601489) is an individual internal medicine provider in Lansing, Michigan, licensed in Michigan (4301504688) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare, and maintains a secondary practice location in Dearborn.

NPPES Registry Identity

NPI1033601489
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GUSTAVO F TATAJE RENGIFOCredential: MD
Location Address3955 PATIENT CARE DR STE ALansing, MI 48911
Mailing Address3955 Patient Care Dr Ste ALansing, MI 48911-4271 · (517) 374-7600
Phone(517) 374-7600
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 1, 2018
Last NPPES UpdateJuly 23, 20213 updates tracked since enumeration
NPPES CertifiedJuly 23, 2021
✔ NPI 1033601489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MI · 4301504688✔ Licensed in MI · 4351043487
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3955 PATIENT CARE DR STE A, Lansing, MI 48911
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Secondary Practice Location 1

Location 118101 Oakwood BlvdDearborn, MI 48124-4089 · Phone (313) 593-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gustavo F Tataje Rengifo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921401001
PECOS Enrollment IDI20210727002539
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Gustavo Tataje Rengifo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capital Internal Medicine Associates P.C.
Same address
Internal Medicine
3955 PATIENT CARE WAY, SUITE A
Lansing, MI 48911
  • Reassigned Medicare billing, Michigan enrollment
  • 108 clinicians in this Medicare group
NPI 1780629832 (517) 374-7600
Edward W Sparrow Hospital Association
3.2 mi
Family Medicine
2446 JOLLY RD STE B
Okemos, MI 48864
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1588586911 (Michigan), NPI 1043562465 (Michigan)
  • 27 clinicians in this Medicare group
NPI 1952044729 (517) 253-6308
Sparrow Specialty Hospital
4.3 mi
Long Term Care Hospital
1215 E. MICHIGAN AVE, 8W TOWER
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 104 clinicians in this Medicare group
NPI 1437655842 (517) 364-2614

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
38 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Healthcare

Acute Care Hospitals · Owosso, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230121
Location826 West King StreetOwosso, MI 48867 · Shiawassee County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Sparrow Clinton Hospital

Critical Access Hospitals · Saint Johns, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number231326
Location805 S OaklandSaint Johns, MI 48879 · Clinton County
Emergency services

Sparrow Eaton Hospital

Critical Access Hospitals · Charlotte, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231327
Location321 E Harris StreetCharlotte, MI 48813 · Eaton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MACKENZIE DICKINSON DO
Family Medicine
3955 PATIENT CARE DR STE A
LANSING, MI 48911
Ingham County (517) 374-7600
CHERYL G MILLS NP
Nurse Practitioner
3955 PATIENT CARE DR STE A
LANSING, MI 48911
Ingham County (517) 374-7600
MS. TIFFANY LOUISE GOSE PA-C
Physician Assistant
3955 PATIENT CARE DR STE A
LANSING, MI 48911
Ingham County (517) 374-7600
DR. MARY ANNE WERKMAN DO
Internal Medicine
3955 PATIENT CARE DR STE A
LANSING, MI 48911
Ingham County (517) 374-7600
DR. DANIEL MACCOURTNEY MD
Internal Medicine
3955 PATIENT CARE DR STE A
LANSING, MI 48911
Ingham County (517) 374-7600
KRISTAL RICHARDSON-AUBREY NP-C
Nurse Practitioner (Family)
3955 PATIENT CARE DR STE A
LANSING, MI 48911
Ingham County (517) 374-7600
ERIN WARRINER FNP
Nurse Practitioner (Family)
3955 PATIENT CARE DR STE A
LANSING, MI 48911
Ingham County (517) 374-7600
DR. LEE JORDAN MD
Family Medicine
3955 PATIENT CARE DR STE A
LANSING, MI 48911
Ingham County (517) 374-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gustavo Tataje Rengifo's NPI number?

The NPI number for Gustavo Tataje Rengifo is 1033601489. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Gustavo Tataje Rengifo located?

Gustavo Tataje Rengifo practices at 3955 Patient Care Dr Ste A, Lansing, MI 48911. The listed phone number is (517) 374-7600.

What is Gustavo Tataje Rengifo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gustavo Tataje Rengifo enrolled in Medicare?

Yes. Gustavo Tataje Rengifo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gustavo Tataje Rengifo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gustavo Tataje Rengifo reassigns Medicare benefits to 3 organizations: Capital Internal Medicine Associates P.C. (Lansing, MI), Edward W Sparrow Hospital Association (Okemos, MI) and Sparrow Specialty Hospital (Lansing, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gustavo Tataje Rengifo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gustavo Tataje Rengifo accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Gustavo Tataje Rengifo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gustavo Tataje Rengifo affiliated with any hospitals?

According to CMS data, Gustavo Tataje Rengifo is affiliated with Memorial Healthcare, Edward W Sparrow Hospital, Sparrow Clinton Hospital and Sparrow Eaton Hospital.

When was this NPI record last updated?

The NPPES record for Gustavo Tataje Rengifo was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.