Downriver Internists,P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

041891 Issued in MI

Legal business name

DOWNRIVER INTERNISTS,P.C.

Practice address

21801 Goddard Rd
Taylor, MI 48180-4213

Phone

(734) 287-3830

Fax

(737) 287-4626

NPI assigned

Feb 12, 2007

Last updated

Jan 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Beverly Jean Smith, C.M.M.

Title

Practice Manager

Phone

(734) 318-2418

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eliezer R De Leon, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1578536009
  Medicare reassignment Care Compare group NPD
• Gobind L Garg, MD

  • Internal Medicine Physician
  • Oak Park, MI
  • NPI 1992798961
  Medicare reassignment Care Compare group NPD
• Srinivas Rao Gatla, M.D

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1679885388
  Medicare reassignment Care Compare group NPD
• Tony Nguyen, M.D.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1396741567
  Medicare reassignment Care Compare group NPD
• Jairaj D Mulchandani, MD

  • Internal Medicine Physician
  • Wayne, MI
  • NPI 1174698724
  Medicare reassignment NPD
• Michelle M Bauer, DO

  • Family Medicine Physician
  • Trenton, MI
  • NPI 1750463071
  NPD
• Linsey Lozon, NP

  • Family Nurse Practitioner
  • Allen Park, MI
  • NPI 1104501121
  NPD
• Patrick R Vandehey, DO

  • Family Medicine Physician
  • Allen Park, MI
  • NPI 1568544880
  NPD
• Theresa L Vandehey, FNP

  • Family Nurse Practitioner
  • Allen Park, MI
  • NPI 1346765344
  NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1043352784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21801 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804213",
            "telephone_number": "734-287-3830",
            "fax_number": "734-287-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21801 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804213",
            "telephone_number": "734-287-3830",
            "fax_number": "737-287-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER INTERNISTS,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "734-318-2418",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.M.M."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "041891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4134414",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "110H249580",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Dodt, PHARM D
• Anthony J Dondero, LMSW, CAADC
• Amanda Downen
• Downriver Home Health Care
• Downriver Internal Medicine Assoc (Taylor International Medicine Associates)
• Downriver Mental Health Clinic PC (Advanced Counseling Services PC)
• Downriver Mental Health Clinic PC (Lifestance Health, Inc)
• Downrivers Nest Adult Day Health Care Inc.
• Dowriver's Nest
• Dalton James Drumm

• Internal Medicine Physician in Taylor, MI
• Providers in Taylor, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.