MICHIGAN STATE UNIVERSITY
NPI 1467535211
Pediatrics - Neonatal-Perinatal Medicine in Lansing, MI

Active since October 23, 2006
1215 E MICHIGAN AVE, SPARROW HOSPITAL - NEONATOLOGY UNIT, LANSING, MI 48912(517) 364-2670(517) 364-3994 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michigan State University NPPES

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

MICHIGAN STATE UNIVERSITY (NPI 1467535211) is a healthcare organization registered as a neonatal-perinatal medicine in Lansing, Michigan and active in the NPI registry since October 2006. The organization lists Lisa M Rucker, Provider Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1467535211
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NameMICHIGAN STATE UNIVERSITY
Location Address1215 E MICHIGAN AVE, SPARROW HOSPITAL - NEONATOLOGY UNITLansing, MI 48912-1811
Mailing Address804 Service Rd, Room A201East Lansing, MI 48824-7015 · (517) 884-2976 · Fax (517) 432-3928
Fax(517) 364-3994
Organization SubpartNo
Authorized OfficialLisa M RuckerProvider Enrollment Manager · (517) 355-8462
Enumeration DateOctober 23, 2006
Last NPPES UpdateFebruary 8, 2018
✔ NPI 1467535211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1215 E MICHIGAN AVE, Lansing, MI 48912

Other Identifiers 1

Medicaid3043440MI

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

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

51

Medicare enrollment records show 51 clinicians reassign Medicare billing to Michigan State University, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Neurology13
Pediatric Medicine11
Diagnostic Radiology5
Orthopedic Surgery4
Sports Medicine3
Family Practice2
Ophthalmology2
Psychiatry2
8 other specialties9

Nearest to this location (20)

See all 51
Pediatric Medicine
NPI 1467705798
1215 E MICHIGAN AVE SPARROW HOSPITAL, NEONATOLOGY UNIT, 3RD FLOOR
Lansing, MI 48912
(517) 364-2468
✔ PECOSSame address
Pediatric Medicine
NPI 1033111653
1200 E MICHIGAN AVE STE 145
Lansing, MI 48912
(517) 364-5440
✔ PECOS0.1 mi
Pulmonary Disease
NPI 1467422618
1200 E MICHIGAN AVE SUITE 415
Lansing, MI 48912
(517) 484-2760
✔ PECOS✔ Accepts Medicare0.1 mi
Pulmonary Disease
NPI 1194002550
1200 E MICHIGAN AVE STE 415
Lansing, MI 48912
(517) 484-2760
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1518978345
1200 E MICHIGAN AVE STE 145
Lansing, MI 48912
(517) 364-5440
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1508875949
1200 E MICHIGAN AVE SUITE 145
Lansing, MI 48912
(517) 364-5440
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1033127626
1200 E MICHIGAN AVE STE 145
Lansing, MI 48912
(517) 364-5440
✔ PECOS✔ Accepts Medicare0.1 mi
Diagnostic Radiology
NPI 1982652822
3220 DISCOVERY DR STE 100
Lansing, MI 48910
(517) 975-8930
✔ PECOS✔ Accepts Medicare2.3 mi
Pediatric Medicine
NPI 1245527159
3220 DISCOVERY DR STE 210
Lansing, MI 48910
(517) 484-0004
✔ PECOS2.3 mi
Interventional Radiology
NPI 1275639874
3220 DISCOVERY DR STE 100
Lansing, MI 48910
(517) 975-8930
✔ PECOS✔ Accepts Medicare2.3 mi
Neurology
NPI 1033353198
804 SERVICE ROAD ROOM A217
East Lansing, MI 48824
(517) 353-8122
✔ PECOS✔ Accepts Medicare2.4 mi
Psychiatry
NPI 1154588267
804 SERVICE RD STE A217
East Lansing, MI 48824
(517) 353-8122
✔ PECOS✔ Accepts Medicare2.4 mi
Hematology/Oncology
NPI 1376571000
804 SERVICE ROAD ROOM B240
East Lansing, MI 48824
(517) 355-8998
✔ PECOS✔ Accepts Medicare3.6 mi
Neuropsychiatry
NPI 1942523709
804 SERVICE RD # A217
East Lansing, MI 48824
(517) 353-8122
✔ PECOS✔ Accepts Medicare3.6 mi
Infectious Disease
NPI 1679763973
4650 S HAGADORN RD STE 100
East Lansing, MI 48823
(517) 353-4830
✔ PECOS✔ Accepts Medicare4.0 mi
Internal Medicine
NPI 1629012299
4660 S HAGADORN RD STE 600
East Lansing, MI 48823
(517) 267-2460
✔ PECOS✔ Accepts Medicare4.0 mi
Family Practice
NPI 1114366499
4660 S HAGADORN RD STE 420
East Lansing, MI 48823
(517) 884-6100
✔ PECOS✔ Accepts Medicare4.0 mi
Orthopedic Surgery
NPI 1215293089
4660 S HAGADORN RD STE 420
East Lansing, MI 48823
(517) 884-6100
✔ PECOS✔ Accepts Medicare4.0 mi
Sports Medicine
NPI 1902819162
4660 S HAGADORN RD STE 420
East Lansing, MI 48823
(517) 884-6100
✔ PECOS4.0 mi
Allergy/Immunology
NPI 1417939778
4600 S HAGADORN RD #405
East Lansing, MI 48823
(517) 884-8600
✔ PECOS4.0 mi
See all 51 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 1467535211. 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 1215 E Michigan Ave Sparrow Hospital - Neonatology Unit, Lansing, MI 48912. The listed phone number is (517) 364-2670.

What is Michigan State University's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

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), 51 clinicians in 16 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 Neurology (13), Pediatric Medicine (11) and Diagnostic Radiology (5). Of these, 1 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michigan State University was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.