PRITI PATHAK MD
NPI 1245321454
Family Medicine in Lansing, MI
About Priti Pathak Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRITI PATHAK MD (NPI 1245321454) is an individual family medicine provider in Lansing, Michigan, licensed in Michigan (4301069352) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Other (1979).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Priti Pathak 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.
Medicare Billing Reassignment
Medicare enrollment records show Priti Pathak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lansing, MI 48910
- Reassigned Medicare billing, Michigan enrollment
- 38 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Edward W Sparrow Hospital
Acute Care Hospitals · Lansing, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
LANSING, MI 48910
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 Priti Pathak's NPI number?
The NPI number for Priti Pathak is 1245321454. It was assigned to this individual provider in the NPPES registry on September 27, 2006.
Where is Priti Pathak located?
Priti Pathak practices at 2316 S Cedar St, Lansing, MI 48910. The listed phone number is (517) 887-4302.
What is Priti Pathak's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Priti Pathak enrolled in Medicare?
Yes. Priti Pathak 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 organization bills Medicare for Priti Pathak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priti Pathak reassigns Medicare benefits to County Of Ingham (Lansing, MI). The 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 Priti Pathak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priti Pathak accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Priti Pathak 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 Priti Pathak affiliated with any hospitals?
According to CMS data, Priti Pathak is affiliated with Edward W Sparrow Hospital.
When was this NPI record last updated?
The NPPES record for Priti Pathak was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Priti Pathak, MD · NPI 1245321454
Family Medicine physician in Lansing, Michigan. Individual provider, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1245321454 (Entity type: Individual)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301069352 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2316 S CEDAR ST, Lansing, MI 48910-3152
- **Phone:** (517) 887-4302 · **Fax:** (517) 887-4625
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** County Of Ingham (NPI 1518339654, Lansing, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1979
## Record status
- **NPPES last updated:** June 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245321454) · Data from the CMS NPPES public registry.