Individual provider Active NPI

Preeti Ramappa, MD, FACC

  • Cardiovascular Disease Physician
  • Detroit, MI
National Provider Identifier
1053413070
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301078223 Issued in MI
Practice address
4646 John R St
11M
Detroit, MI 48201-1916
Phone
(313) 576-3724
NPI assigned
Sep 1, 2006
Last updated
Oct 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301078223 MI
Cardiovascular Disease Physician 207RC0000X 4301078223 MI Primary
Nuclear Cardiology Physician 207UN0901X 4301078223 MI

Addresses

Primary practice location

4646 John R St
11M
Detroit, MI 48201-1916

Mailing address

4646 John R St
11M
Detroit, MI 48201-1916
Phone (313) 576-3724

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
I20141010000737 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2365662533 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Cardiovascular Consultants PC CurrentSince Sep 29, 2021 Accepting new patients
University Physician Group Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
Hammam Zmily MD PC Cardiovascular Disease Past Accepting new patients

Locations

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4646 John R St
#11M
Detroit, MI 48201
Phone (313) 576-3118

2632 S Rochester Rd
Unit 70306
Rochester Hills, MI 48307

1560 E Maple Rd
Ste 400
Troy, MI 48083

1629 W Big Beaver Rd
Troy, MI 48084
Phone (248) 480-0363

Interoperability endpoints

  • Direct secure messaging: pramappa837232@direct.hfhs.org

Organizations & group practices 3

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.

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": "1412121600000",
    "number": "1053413070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 JOHN R ST",
            "address_2": "11M",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011916",
            "telephone_number": "313-576-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 JOHN R ST",
            "address_2": "11M",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011916",
            "telephone_number": "313-576-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMAPPA",
        "first_name": "PREETI",
        "name_prefix": "Dr.",
        "credential": "MD, FACC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301078223",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301078223",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "MI",
            "license": "4301078223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.