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

Richard Fong

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1063866291

Richard Fong is a Physical Medicine and Rehabilitation in Lansing, Michigan. Graduated from Nova Southeastern College of Osteo Medicine in 2016, 10 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
MI
In the registry since
2016
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Practice location Address checks out

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone: (517) 364-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 5101022308 (MI)

Record details

NPI number1063866291
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 13, 2016
Last updated in NPPESDecember 20, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2016 (10 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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