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OM DAWANI M.D.
NPI 1699127290
Internal Medicine in East Lansing, MI

Active since July 07, 2016PECOS EnrolledAccepts Medicare Assignment
804 SERVICE RD RM A225, EAST LANSING, MI 48824(517) 353-4941(517) 432-3145 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Om Dawani M.d. NPPES

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

OM DAWANI M.D. (NPI 1699127290) is an individual internal medicine provider in East Lansing, Michigan, licensed in Michigan (4301110606) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Northern Light A R Gould Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1699127290
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameOM DAWANICredential: M.D.
Location Address804 SERVICE RD RM A225East Lansing, MI 48824-7015
Mailing Address788 Service Rd Rm B301East Lansing, MI 48824-7013 · (517) 353-5100 · Fax (517) 432-2759
Phone(517) 353-4941
Fax(517) 432-3145
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 7, 2016
✔ NPI 1699127290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301110606
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.
804 SERVICE RD RM A225, East Lansing, MI 48824
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro 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

Om Dawani M.d. 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 ID3678814969
PECOS Enrollment IDI20220615002508
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

2

Medicare enrollment records show Om Dawani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mrh Corp.
777 mi
Critical Access
897 W MAIN ST
Dover Foxcroft, ME 04426
  • Reassigned Medicare billing, Maine enrollment
  • 146 clinicians in this Medicare group
NPI 1558319103 (207) 564-8401
Eastern Maine Medical Center
798 mi
General Acute Care Hospital
489 STATE ST
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 788 clinicians in this Medicare group
NPI 1790789147 (207) 973-7000

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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
200 services101 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
118 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services35 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.
37 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services30 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
16 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Northern Light A R Gould Hospital

Acute Care Hospitals · Presque Isle, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200018
LocationPO Box 151Presque Isle, ME 04769 · Aroostook County
Emergency services Birthing friendly

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

Down East Community Hospital

Critical Access Hospitals · Machias, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201311
Location11 Hospital DriveMachias, ME 04654 · Washington County
Emergency services

Northern Light Sebasticook Valley Hospital

Critical Access Hospitals · Pittsfield, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201313
Location447 North Main StreetPittsfield, ME 04967 · Somerset County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48824 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$69.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DIVYESH REDDY NEMAKAYALA M.D.
Internal Medicine (Gastroenterology)
804 SERVICE RD RM A225
EAST LANSING, MI 48824
Ingham County (517) 353-4941
MORGAN DUDLEY M.D.
Internal Medicine
804 SERVICE RD RM A225
EAST LANSING, MI 48824
Ingham County (517) 353-4941
KONCHOK NORGAIS M.D.
Internal Medicine
804 SERVICE RD RM A225
EAST LANSING, MI 48824
Ingham County (517) 353-4941
SAGAR PANTHI M.D.
Internal Medicine
804 SERVICE RD RM A225
EAST LANSING, MI 48824
Ingham County (517) 353-4941

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 Om Dawani's NPI number?

The NPI number for Om Dawani is 1699127290. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Om Dawani located?

Om Dawani practices at 804 Service Rd Rm A225, East Lansing, MI 48824. The listed phone number is (517) 353-4941.

What is Om Dawani's specialty?

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

Is Om Dawani enrolled in Medicare?

Yes. Om Dawani 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 Om Dawani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Om Dawani reassigns Medicare benefits to 2 organizations: Mrh Corp. (Dover Foxcroft, ME) and Eastern Maine Medical Center (Bangor, ME). 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 Om Dawani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Om Dawani accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Om Dawani 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 Om Dawani affiliated with any hospitals?

According to CMS data, Om Dawani is affiliated with Northern Light A R Gould Hospital, Northern Light Eastern Maine Medical Center, Northern Light Maine Coast Hospital, Down East Community Hospital and Northern Light Sebasticook Valley Hospital.

When was this NPI record last updated?

The NPPES record for Om Dawani was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.