MICHIGAN STATE UNIVERSITY
NPI 1699858431
Orthopaedic Surgery in East Lansing, MI

Active since October 23, 2006
4660 S HAGADORN RD STE 420, EAST LANSING, MI 48823(517) 884-6100(517) 884-6233 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michigan State University NPPES

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

MICHIGAN STATE UNIVERSITY (NPI 1699858431) is a healthcare organization registered as an orthopaedic surgery in East Lansing, Michigan and active in the NPI registry since October 2006. The organization lists Lisa Rucker, Enrollment & Patient Accts Manager, as its authorized official.

NPPES Registry Identity

NPI1699858431
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMICHIGAN STATE UNIVERSITY
Location Address4660 S HAGADORN RD STE 420East Lansing, MI 48823-5353
Mailing Address804 Service Rd # A109fEast Lansing, MI 48824-7015 · (517) 884-2976 · Fax (517) 432-3928
Fax(517) 884-6233
Organization SubpartNo
Authorized OfficialLisa RuckerEnrollment & Patient Accts Manager · (517) 884-2976
Enumeration DateOctober 23, 2006
Last NPPES UpdateApril 5, 2018
✔ NPI 1699858431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
Also ListedPhysician AssistantTaxonomy 363A00000X
4660 S HAGADORN RD STE 420, 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

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, 30 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
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
Osteopathic Manipulative Medicine
NPI 1336177674
4660 S HAGADORN RD STE 500
East Lansing, MI 48823
(517) 432-6144
✔ PECOSSame address
Family Practice
NPI 1114366499
4660 S HAGADORN RD STE 420
East Lansing, MI 48823
(517) 884-6100
✔ PECOS✔ Accepts MedicareSame address
Osteopathic Manipulative Medicine
NPI 1023021615
4660 S HAGADORN RD STE 500
East Lansing, MI 48823
(517) 432-6144
✔ 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
Physical Medicine and Rehabilitation
NPI 1285922625
4660 S HAGADORN RD STE 520
East Lansing, MI 48823
(517) 884-8701
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1497963425
4660 S HAGADORN RD STE 420
East Lansing, MI 48823
(517) 884-6100
✔ 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 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 1699858431. 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 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823. The listed phone number is (517) 884-6100.

What is Michigan State University's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

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, 30 practice at this address and 114 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 April 5, 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.