Individual provider Active NPI

Nayantara Jnananand, M.D.

  • Family Medicine Physician
  • Canton, MI
National Provider Identifier
1013128925
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301085579 Issued in MI
Practice address
8552 N Canton Center Rd
Canton, MI 48187-1310
Phone
(248) 910-4123
Fax
(888) 378-0244
NPI assigned
May 24, 2007
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X V2631 TX
Family Medicine Physician 207Q00000X 4301085579 MI Primary

Addresses

Primary practice location

8552 N Canton Center Rd
Canton, MI 48187-1310

Mailing address

50936 Richard Dr
Plymouth, MI 48170-1192
Phone (248) 910-4123

Other practice location 1

4272 W Vienna Rd
Clio, MI 48420-9454
Phone (810) 687-2850

Other identifiers 3

IdentifierTypeStateIssuer
1104840529OtherMIBCBSM - BRONSON PRACTICE MANAGEMENT
1013128925MedicaidMI
M32030168OtherMIMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110506000274 MI Practitioner - Family Practice 0648316521 Reassigns benefits to 2 organizations
I20251009001175 TX Practitioner - Family Practice 0648316521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1401 S Rangerville Rd
Harlingen, TX 78552-7638

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301085579MIMDFamily Medicine Physician
V2631TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Health Services CurrentSince Jan 23, 2017 Accepting new patients
Health and Human Services Commission CurrentSince May 24, 2025 Accepting new patients
Hurley Health Services Family Medicine CurrentSince Jan 23, 2017 Accepting new patients
Radiancemd PLLC Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Health and Human Services Commission CurrentSince May 24, 2025 Accepting new patients
Urban Comprehensive Medical Care PC Past Accepting new patients
Health and Human Services Commission Past Accepting new patients

Locations

8552 N Canton Center Rd
Canton, MI 48187
Phone (248) 910-4123

4272 W Vienna Rd
Clio, MI 48420
Phone (810) 687-2850

1125 S Linden Rd
Ste 210
Flint, MI 48532
Phone (810) 230-3370

1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000

1401 S Rangerville Rd
#R
Harlingen, TX 78552
Phone (956) 364-8000

Interoperability endpoints

  • Direct secure messaging: njnananand64742@direct.hurleymc.com

Organizations & group practices 7

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 1

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1013128925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50936 RICHARD DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701192",
            "telephone_number": "248-910-4123",
            "fax_number": "888-378-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8552 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "248-910-4123",
            "fax_number": "888-378-0244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4272 W Vienna Rd",
            "address_purpose": "LOCATION",
            "city": "Clio",
            "state": "MI",
            "postal_code": "484209454",
            "country_code": "US",
            "telephone_number": "810-687-2850",
            "fax_number": "810-687-9359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JNANANAND",
        "first_name": "NAYANTARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V2631",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301085579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM - BRONSON PRACTICE MANAGEMENT",
            "identifier": "1104840529",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013128925",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M32030168",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.