MICHIGAN STATE UNIVERSITY
NPI 1699725895
Surgery in East Lansing, MI

Active since May 11, 2006
4660 S HAGADORN RD STE 600, EAST LANSING, MI 48823(517) 267-2460(517) 884-8602 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2019, May 16, 2018 (2 updates tracked since 2018).

About Michigan State University NPPES

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

MICHIGAN STATE UNIVERSITY (NPI 1699725895) is a healthcare organization registered as a surgery in East Lansing, Michigan and active in the NPI registry since May 2006. The organization lists Lisa Rucker, Enrollment & Patient Accts Manager, as its authorized official.

NPPES Registry Identity

NPI1699725895
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMICHIGAN STATE UNIVERSITY
Location Address4660 S HAGADORN RD STE 600East Lansing, MI 48823-5383
Mailing Address804 Service Rd Ste A109bEast Lansing, MI 48824-7015 · (517) 267-2460 · Fax (517) 884-8602
Fax(517) 884-8602
Organization SubpartNo
Authorized OfficialLisa RuckerEnrollment & Patient Accts Manager · (517) 355-8462
Enumeration DateMay 11, 2006
Last NPPES UpdateOctober 18, 20192 updates tracked since enumeration
✔ NPI 1699725895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 4301097695 (MI)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 4301077538 (MI)
4660 S HAGADORN RD STE 600, East Lansing, MI 48823

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 2

Next revalidation due by December 31, 2026

This provider holds 2 Medicare enrollments with upcoming revalidation dates. 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
StateMichiganEnrollment IDO20031218000492Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

162

Medicare enrollment records show 162 clinicians reassign Medicare billing to Michigan State University, which bills Medicare for the services they deliver. Of these, 36 practice at this address and 129 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Pediatric Medicine21
Internal Medicine19
Osteopathic Manipulative Medicine14
Neurology13
Nurse Practitioner13
Psychiatry13
Family Practice9
Physical Medicine and Rehabilitation8
23 other specialties52

Nearest to this location (20)

See all 162
Internal Medicine
NPI 1629012299
4660 S HAGADORN RD STE 600
East Lansing, MI 48823
(517) 267-2460
✔ PECOS✔ Accepts MedicareSame address
Osteopathic Manipulative Medicine
NPI 1821251208
4660 S HAGADORN RD STE 500
East Lansing, MI 48823
(517) 432-6144
✔ PECOS✔ Accepts MedicareSame address
Surgical Oncology
NPI 1538168463
4660 S HAGADORN RD #600
East Lansing, MI 48823
(517) 267-2460
✔ PECOSSame address
Podiatry
NPI 1205148111
4660 S HAGADORN RD STE 600
East Lansing, MI 48823
(517) 267-2460
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1780771386
4660 S HAGADORN RD STE 400
East Lansing, MI 48823
(517) 355-7648
Same address
Osteopathic Manipulative Medicine
NPI 1336177674
4660 S HAGADORN RD STE 500
East Lansing, MI 48823
(517) 432-6144
✔ PECOSSame address
Physical Therapist in Private Practice
NPI 1811085996
4660 S HAGADORN RD STE 400
East Lansing, MI 48823
(517) 355-7648
✔ Accepts MedicareSame address
Family Practice
NPI 1114366499
4660 S HAGADORN RD STE 420
East Lansing, MI 48823
(517) 884-6100
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1215293089
4660 S HAGADORN RD STE 420
East Lansing, MI 48823
(517) 884-6100
✔ PECOS✔ Accepts MedicareSame address
Sports Medicine
NPI 1902819162
4660 S HAGADORN RD STE 420
East Lansing, MI 48823
(517) 884-6100
✔ PECOSSame address
Sports Medicine
NPI 1427340256
4660 S HAGADORN RD STE 420
East Lansing, MI 48823
(517) 884-6100
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1124095278
4660 S HAGADORN RD STE 210
East Lansing, MI 48823
(517) 355-4205
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1194714691
4660 S HAGADORN RD STE 520
East Lansing, MI 48823
(517) 884-8701
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1154351542
4660 S HAGADORN RD STE 500
East Lansing, MI 48823
(517) 432-6144
✔ PECOSSame address
Urology
NPI 1619380334
4660 S HAGADORN RD STE 210
East Lansing, MI 48823
(517) 355-4205
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1356662332
4660 S HAGADORN RD STE 520
East Lansing, MI 48823
(517) 884-8701
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1164466223
4660 S HAGADORN RD SUITE 420
East Lansing, MI 48823
(517) 884-6100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255485975
4660 S HAGADORN RD #600
East Lansing, MI 48823
(517) 267-2460
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1285803627
4660 S HAGADORN RD STE 600
East Lansing, MI 48823
(517) 355-4205
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1245675982
4660 S HAGADORN RD STE 270
East Lansing, MI 48823
(517) 353-8122
✔ PECOS✔ Accepts MedicareSame address
See all 162 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 1699725895. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Michigan State University located?

Michigan State University is located at 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823. The listed phone number is (517) 267-2460.

What is Michigan State University's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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), Michigan State University holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice). 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), 162 clinicians in 31 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, 36 practice at this address and 129 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 October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.