MICHIGAN STATE UNIVERSITY
MICHIGAN STATE UNIVERSITY is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1891747614, based in East Lansing, MI. The organization lists 6 taxonomy classifications, with Diagnostic Radiology Physician recorded as primary.
Getting there
The practice address on file is 804 SERVICE RD # D100, East Lansing, MI 48824. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4301023246 | MI | Diagnostic Neuroimaging (Radiology)… |
| 4301040697 | MI | Vascular & Interventional Radiology… |
This provider holds licence 4301023246 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3870405954
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Diagnostic Radiology covers
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | — | — | primary |
| 2085B0100X | Body Imaging Physician Body Imaging | — | — | |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician Diagnostic Neuroimaging | 4301023246 | MI | |
| 2085N0700X | Neuroradiology Physician Neuroradiology | — | — | |
| 2085N0904X | Nuclear Radiology Physician Nuclear Radiology | — | — | |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | — | — | |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | 4301040697 | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1891747614 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 17, 2006 |
| Last updated | Apr 5, 2018 |
| Status | Active |
| Practice address |
804 SERVICE RD # D100 East Lansing, MI 48824 (517) 353-5053 Fax (517) 432-4394 |
| Mailing address |
804 SERVICE RD RM A109F East Lansing, MI 48824 |
| Other identifiers |
1891747614
(MI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 9 | 1 | 7 | 4 | 7 | 6 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 9 | 1 | 5 | 4 | 5 | 6 | 2 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.