THERESEANN HUPRIKAR (D.O.) – Physical Medicine & Rehabilitation Physician, NPI 1063892123

THERESEANN HUPRIKAR (D.O.) is a healthcare provider. based in East lansing, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials D.O.. They hold a License No. 5101024828 (MI). The NPI Number for THERESEANN HUPRIKAR (D.O.) is 1063892123

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
THERESEANN HUPRIKAR (D.O.)
NPI
1063892123
Phone
(517) 353-4911
Address
804 SERVICE RD STE A109B
Enumeration Date
4 June 2015
Last Update Date
4 November 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
8628303757
Group Practice PAC ID
0941513303
Professional Enrollment ID
I20190711003237
Address ID
MI495463808GR5060XSEXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

565 PHYSICAL MEDICINE AND REHABILITATION in MI

Provider Addresses for THERESEANN HUPRIKAR (D.O.)

  • 804 SERVICE RD STE A109B

    EAST LANSING, MI 488247015

    Phone: (517) 353-4911

    Fax: (517) 432-3928

    Type: Mailing

  • 1215 E MICHIGAN AVE

    LANSING, MI 489121811

    Phone: (517) 364-2766

    Type: Location

  • 1215 E MICHIGAN AVE STE 520

    LANSING, MI 489121811

    Phone: (517) 364-5260

    Fax: (517) 364-5251

    Type: Mailing

  • 370 N 120TH AVE

    HOLLAND, MI 494242120

    Phone: (616) 396-5855

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $107.

Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.

Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Boston Scientific Corporation ($35).

Total Amount

$107

General + Research + Ownership

Payments

5

Total payment records

General Amount

$107

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190711003237IPhysical Medicine And RehabilitationMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13591$0
J1100Injection, dexamethasone sodium phosphate, 1 mg11612$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml11630$0
99204New patient office or other outpatient visit, 45-59 minutes9898$0
99213Established patient office or other outpatient visit, 20-29 minutes8266$0
View full utilization report →

Insurance plans in this area (ZIP 48824)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941513303View full group profile
NameSpecialtyState
Physician AssistantMI
Sports MedicineMI
Sports Medicine, Family PracticeMI
Physician AssistantMI
Physician AssistantIL
Nurse PractitionerMI
N E U R O S U R G E R YIL
Physician AssistantMI
Internal MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

What number should I use to identify THERESEANN HUPRIKAR (D.O.) for billing?
Administrative and clinical systems typically use NPI 1063892123 for THERESEANN HUPRIKAR (D.O.).
Is THERESEANN HUPRIKAR (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists THERESEANN HUPRIKAR (D.O.) as active.
What does the directory say THERESEANN HUPRIKAR (D.O.) does?
Insurance directories may phrase it differently, but here THERESEANN HUPRIKAR (D.O.) maps to Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Is THERESEANN HUPRIKAR (D.O.) tied to East Lansing, Michigan?
If you are local to East Lansing, Michigan, THERESEANN HUPRIKAR (D.O.) may be relevant to your search.
Why is information missing for THERESEANN HUPRIKAR (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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