Individual provider Active NPI

Indira Alluru, MD

  • Internal Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1003918095
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301085409 Issued in MI
Practice address
414 Perry Rd
Grand Blanc, MI 48439-1467
Phone
(810) 695-1849
Fax
(810) 695-1736
NPI assigned
Sep 1, 2006
Last updated
Jul 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301085409 MI Primary

Addresses

Primary practice location

414 Perry Rd
Grand Blanc, MI 48439-1467

Mailing address

414 Perry Rd
Grand Blanc, MI 48439-1467
Phone (810) 695-1849

Other identifiers 1

IdentifierTypeStateIssuer
4754527MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050817000792 MI Practitioner - Internal Medicine 9335179548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

414 Perry Rd
Grand Blanc, MI 48439-1467
Phone (810) 695-1849

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301085409MIMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: ialluru1159631@direct.hfhs.org
  • Direct secure messaging: indiraalluru@pmi.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1003918095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PERRY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391467",
            "telephone_number": "810-695-1849",
            "fax_number": "810-695-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PERRY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391467",
            "telephone_number": "810-695-1849",
            "fax_number": "810-695-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLURU",
        "first_name": "INDIRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301085409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754527",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.