MID MICHIGAN ORAL SURGERY PC
NPI 1174516413
Dentist - Oral and Maxillofacial Surgery in East Lansing, MI
About Mid Michigan Oral Surgery Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MID MICHIGAN ORAL SURGERY PC (NPI 1174516413) is a healthcare organization registered as an oral and maxillofacial surgery in East Lansing, Michigan and active in the NPI registry since August 2005. The organization lists Vincent V Benivegna, Doctor Owner Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mid Michigan Oral Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Mid Michigan Oral Surgery PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mid Michigan Oral Surgery PC's NPI number?
The NPI number for Mid Michigan Oral Surgery PC is 1174516413. It was assigned to this organization in the NPPES registry on August 23, 2005.
Where is Mid Michigan Oral Surgery PC located?
Mid Michigan Oral Surgery PC is located at 325 W Lake Lansing Rd, East Lansing, MI 48823. The listed phone number is (517) 337-9759.
What is Mid Michigan Oral Surgery PC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Mid Michigan Oral Surgery PC enrolled in Medicare?
Yes. Mid Michigan Oral Surgery PC is registered in the Medicare PECOS enrollment system.
When is Mid Michigan Oral Surgery PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mid Michigan Oral Surgery PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mid Michigan Oral Surgery PC, in Maxillofacial Surgery and Oral Surgery. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mid Michigan Oral Surgery PC was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mid Michigan Oral Surgery Pc · NPI 1174516413
Oral and Maxillofacial Surgery organization in East Lansing, Michigan. Organization record, active in the CMS NPPES registry since August 23, 2005.
## Identity
- **NPI:** 1174516413 (Entity type: Organization)
- **Enumerated:** August 23, 2005
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Vincent Benivegna, DOCTOR OWNER VICE PRESIDENT
## Practice location
- **Address:** 325 W LAKE LANSING RD, East Lansing, MI 48823-8524
- **Phone:** (517) 337-9759 · **Fax:** (517) 337-8156
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Maxillofacial Surgery (2), Oral Surgery (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1174516413) · Data from the CMS NPPES public registry.