LEGACY PHYSICIAN GROUP, P.C.
NPI 1801800719
Specialist in Lansing, MI

NPI Status: Active since July 28, 2006

Contact Information

1540 LAKE LANSING RD
102
LANSING, MI
ZIP 48912
Phone: (517) 913-3900

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  • Organization
  • Specialist
  • Accepts Insurance

About LEGACY PHYSICIAN GROUP, P.C.

This page provides the complete NPI Profile along with additional information for Legacy Physician Group, P.c., a provider established in Lansing, Michigan operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1801800719 assigned on July 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Susan Therese Fedewa Dr (President)

NPI
1801800719
Provider Name
LEGACY PHYSICIAN GROUP, P.C.
Entity Type
Organization
Location Address
1540 LAKE LANSING RD 102 LANSING, MI 48912
Location Phone
(517) 913-3900
Mailing Address
1540 LAKE LANSING RD STE 203 LANSING, MI 48912
Mailing Phone
(517) 913-6711
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2006
Last Update Date
02-18-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Trinity Health East Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Trinity Health East Network - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Southeast Michigan Network - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Bronze - Trinity Health East Network - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Gold Southeast Michigan Network - HMO
  • MyPriority Standard Gold Trinity Health East Network - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Southeast Michigan Network - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Standard Silver - Trinity Health East Network - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN THERESE FEDEWA DR

Authorized Official Title
PRESIDENT
Authorized Official Phone
(517) 913-6711

Reviews for LEGACY PHYSICIAN GROUP, P.C.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1801800719, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 1 + 6 + 0 + 0 + 7 + 2 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1801800719.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
1540 LAKE LANSING RD, SUITE 107
LANSING, MI 48912
Surgery
1540 LAKE LANSING RD, STE 104
LANSING, MI 48912
Pain Medicine (Interventional Pain Medicine)
1540 LAKE LANSING RD, SUITE G06
LANSING, MI 48912
Nurse Practitioner (Adult Health)
1540 LAKE LANSING RD, SUITE G06
LANSING, MI 48912
Radiology (Diagnostic Radiology)
1540 LAKE LANSING RD, SUITE 107
LANSING, MI 48912
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1540 LAKE LANSING RD, STE 201
LANSING, MI 48912
Internal Medicine
1540 LAKE LANSING RD, STE 201
LANSING, MI 48912
Internal Medicine
1540 LAKE LANSING RD, STE 201
LANSING, MI 48912
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1540 LAKE LANSING RD, STE 201
LANSING, MI 48912
Internal Medicine
1540 LAKE LANSING RD, STE 102
LANSING, MI 48912
Obstetrics & Gynecology
1540 LAKE LANSING RD, SUITE 205
LANSING, MI 48912
Family Medicine
1540 LAKE LANSING RD, STE 202
LANSING, MI 48912
Internal Medicine
1540 LAKE LANSING RD, STE 201
LANSING, MI 48912
Obstetrics & Gynecology
1540 LAKE LANSING RD, SUITE 205
LANSING, MI 48912
Family Medicine
1540 LAKE LANSING RD, STE 202
LANSING, MI 48912
Internal Medicine
1540 LAKE LANSING RD, STE 201
LANSING, MI 48912
Internal Medicine
1540 LAKE LANSING RD, STE 201
LANSING, MI 48912
Internal Medicine
1540 LAKE LANSING RD, STE 201
LANSING, MI 48912
Family Medicine
1540 LAKE LANSING RD, SUITE 103
LANSING, MI 48912
Internal Medicine
1540 LAKE LANSING RD, STE 201
LANSING, MI 48912

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801800719, enumerated as an "organization" on July 28, 2006.

The provider is located at 1540 LAKE LANSING RD 102 LANSING, MI 48912 and the phone number is (517) 913-3900.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.