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

Philip Wyatt, DO

Individual provider Internal Medicine Physician · NPI 1184205221

Philip Wyatt, DO is an Internal Medicine in Lansing, Michigan. Qualified in 2021, 5 years ago. Practices with Community Medical Group LLC, a 108-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6465 Millennium Ste 100
Lansing, MI 48917-7831
Phone: (517) 975-3720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101027605 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 5151014946 (MI)

Record details

NPI number1184205221
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 20, 2021
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing address6465 Millennium Ste 100, Lansing, MI 48917-7831

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Community Medical Group Llc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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