MICHIGAN STATE UNIVERSITY
NPI 1326121179
Pediatrics in Okemos, MI

Active since October 23, 2006
1600 W GRAND RIVER AVE, STE 2, OKEMOS, MI 48864(517) 349-6560(517) 348-5796 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 20, 2026, May 15, 2023, Jun 4, 2021 (3 updates tracked since 2021).

About Michigan State University NPPES

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

MICHIGAN STATE UNIVERSITY (NPI 1326121179) is a healthcare organization registered as a pediatrics in Okemos, Michigan and active in the NPI registry since October 2006. The organization lists Relanda Price, Operations Coordinator, as its authorized official.

NPPES Registry Identity

NPI1326121179
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMICHIGAN STATE UNIVERSITY
Location Address1600 W GRAND RIVER AVE, STE 2Okemos, MI 48864-2394
Mailing Address463 E Circle DrEast Lansing, MI 48824-7500 · (517) 884-6546 · Fax (517) 432-9460
Fax(517) 348-5796
Organization SubpartNo
Authorized OfficialRelanda PriceOperations Coordinator · (517) 884-2976
Enumeration DateOctober 23, 2006
Last NPPES UpdateJanuary 20, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1326121179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X · License 5101011076 (MI)
Also ListedOrthopaedic Surgery · Pediatric Orthopaedic SurgeryTaxonomy 207XP3100X · License 5101019945 (MI)
Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedUrologyTaxonomy 208800000X
Also ListedUrology · Pediatric UrologyTaxonomy 2088P0231X
1600 W GRAND RIVER AVE, Okemos, MI 48864

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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)

Michigan State University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20031106000079Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

142

Medicare enrollment records show 142 clinicians reassign Medicare billing to Michigan State University, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 114 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Pediatric Medicine21
Internal Medicine19
Osteopathic Manipulative Medicine14
Neurology13
Psychiatry13
Family Practice9
Physical Medicine and Rehabilitation8
Hematology/Oncology6
21 other specialties39

Nearest to this location (20)

See all 142
Pediatric Medicine
NPI 1639557085
1600 W GRAND RIVER AVE STE 2
Okemos, MI 48864
(517) 349-6560
✔ PECOSSame address
Pediatric Medicine
NPI 1891896940
1600 W GRAND RIVER AVE SUITE 2
Okemos, MI 48864
(517) 349-6560
✔ PECOSSame address
Pediatric Medicine
NPI 1689685802
1600 W GRAND RIVER AVE STE 2
Okemos, MI 48864
(517) 349-6560
✔ PECOSSame address
Pediatric Medicine
NPI 1386824159
1600 W GRAND RIVER AVE STE 2
Okemos, MI 48864
(517) 349-6560
✔ PECOSSame address
Physical Medicine and Rehabilitation
NPI 1407944747
3860 DOBIE RD
Okemos, MI 48864
(517) 381-6100
✔ PECOS1.6 mi
Pediatric Medicine
NPI 1578660882
2875 EYDE PKWY
East Lansing, MI 48823
(855) 407-7575
✔ PECOS2.4 mi
Urology
NPI 1609213636
2900 HANNAH BLVD STE 104
East Lansing, MI 48823
(517) 364-8118
✔ PECOS✔ Accepts Medicare2.6 mi
Internal Medicine
NPI 1629012299
4660 S HAGADORN RD STE 600
East Lansing, MI 48823
(517) 267-2460
✔ PECOS✔ Accepts Medicare2.8 mi
Osteopathic Manipulative Medicine
NPI 1821251208
4660 S HAGADORN RD STE 500
East Lansing, MI 48823
(517) 432-6144
✔ PECOS✔ Accepts Medicare2.8 mi
Surgical Oncology
NPI 1538168463
4660 S HAGADORN RD #600
East Lansing, MI 48823
(517) 267-2460
✔ PECOS2.8 mi
Podiatry
NPI 1205148111
4660 S HAGADORN RD STE 600
East Lansing, MI 48823
(517) 267-2460
✔ PECOS✔ Accepts Medicare2.8 mi
Family Practice
NPI 1114366499
4660 S HAGADORN RD STE 420
East Lansing, MI 48823
(517) 884-6100
✔ PECOS✔ Accepts Medicare2.8 mi
Orthopedic Surgery
NPI 1215293089
4660 S HAGADORN RD STE 420
East Lansing, MI 48823
(517) 884-6100
✔ PECOS✔ Accepts Medicare2.8 mi
Sports Medicine
NPI 1902819162
4660 S HAGADORN RD STE 420
East Lansing, MI 48823
(517) 884-6100
✔ PECOS2.8 mi
Obstetrics/Gynecology
NPI 1124095278
4660 S HAGADORN RD STE 210
East Lansing, MI 48823
(517) 355-4205
✔ PECOS✔ Accepts Medicare2.8 mi
Endocrinology
NPI 1710928015
4650 S HAGADORN RD STE 100
East Lansing, MI 48823
(517) 353-4830
✔ PECOS✔ Accepts Medicare2.8 mi
Infectious Disease
NPI 1679763973
4650 S HAGADORN RD STE 100
East Lansing, MI 48823
(517) 353-4830
✔ PECOS✔ Accepts Medicare2.8 mi
Hospitalist
NPI 1669727715
4650 S HAGADORN RD STE 100
East Lansing, MI 48823
(517) 353-4941
✔ PECOS✔ Accepts Medicare2.8 mi
Neurology
NPI 1245675982
4660 S HAGADORN RD STE 270
East Lansing, MI 48823
(517) 353-8122
✔ PECOS✔ Accepts Medicare2.8 mi
Hand Surgery
NPI 1124275698
4600 S HAGADORN RD STE 600
East Lansing, MI 48823
(517) 267-2460
✔ PECOS✔ Accepts Medicare2.8 mi
See all 142 clinicians

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 Michigan State University's NPI number?

The NPI number for Michigan State University is 1326121179. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Michigan State University located?

Michigan State University is located at 1600 W Grand River Ave Ste 2, Okemos, MI 48864. The listed phone number is (517) 349-6560.

What is Michigan State University's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michigan State University enrolled in Medicare?

Yes. Michigan State University is registered in the Medicare PECOS enrollment system.

When is Michigan State University'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 December 31, 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 Michigan State University?

According to the CMS Revalidation Reassignment List (October 2026 release), 142 clinicians in 29 Medicare specialties reassign their Medicare billing to Michigan State University. 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. The largest specialties are Pediatric Medicine (21), Internal Medicine (19) and Osteopathic Manipulative Medicine (14). Of these, 4 practice at this address and 114 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michigan State University accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michigan State University 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.

When was this NPI record last updated?

The NPPES record for Michigan State University was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.