Organization Active NPI

Carla L Hunter MD PLLC

  • Adult Medicine Physician
  • Detroit, MI
National Provider Identifier
1033726815
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
CARLA L HUNTER MD PLLC
Practice address
18510 Meyers Rd
Detroit, MI 48235-1307
Phone
(313) 474-3040
Fax
(313) 474-4101
NPI assigned
Sep 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Carla Hunter, MDNPI 1689721375
Title
Managing Member
Phone
(313) 617-7915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

18510 Meyers Rd
Detroit, MI 48235-1307

Mailing address

18510 Meyers Rd
Detroit, MI 48235-1307
Phone (313) 474-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201020003711 MI Part B Supplier - Clinic/Group Practice 6709206386 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1050585Carla L Hunter MD PLLC18510 Meyers Road, Detroit, MI 48235Certificate of waiverJun 5, 2028

National Provider Directory

National Provider Directory

Locations

20400 Livernois Ave
Detroit, MI 48221
Phone (313) 864-3766

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1033726815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18510 MEYERS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351307",
            "telephone_number": "313-474-3040",
            "fax_number": "313-474-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18510 MEYERS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351307",
            "telephone_number": "313-474-3040",
            "fax_number": "313-474-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA L HUNTER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "313-617-7915",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.