Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gustavo F Tataje Rengifo, MD

Individual provider Internal Medicine Physician · NPI 1033601489

Dr. Gustavo F Tataje Rengifo, MD is an Internal Medicine in Lansing, Michigan. Qualified in 2014, 12 years ago. Practices with Edward W Sparrow Hospital Association, a 694-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3955 Patient Care Dr Ste A
Lansing, MI 48911
Phone: (517) 374-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18101 Oakwood Blvd, Dearborn, MI 48124-4089 — (313) 593-7000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301504688 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4351043487 (MI)

Record details

NPI number1033601489
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESJuly 23, 2021
Certification dateJuly 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Edward W Sparrow Hospital Association — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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