Legacy Physician Group, P.C.
NPI 1801800719 · Specialist · Lansing, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Physician Group, P.C. is a Specialist organization in Lansing, MI (NPI 1801800719).
Provider details
- NPI number
- 1801800719
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Susan Fedewa, President(517) 913-6711
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2025-02-18
- Certified
- 2025-02-05
Frequently asked questions
- What is Legacy Physician Group, P.C.'s NPI number?
- Legacy Physician Group, P.C.'s National Provider Identifier (NPI) is 1801800719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Physician Group, P.C.?
- Legacy Physician Group, P.C. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Legacy Physician Group, P.C. located?
- Legacy Physician Group, P.C.'s practice location on file with NPPES is 1540 Lake Lansing Rd, Lansing, MI 48912-3756.
- What is Legacy Physician Group, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Legacy Physician Group, P.C. is (517) 913-3900.
- Does Legacy Physician Group, P.C. accept Medicare?
- Legacy Physician Group, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Legacy Physician Group, P.C.?
- The authorized official listed on Legacy Physician Group, P.C.'s NPPES record is Susan Fedewa, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Physician Group, P.C.'s NPI active?
- Yes — Legacy Physician Group, P.C.'s NPI (1801800719) is active in the NPPES registry as of the last update on 2025-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.