Active NPI
Clara Kamath-Wood MD PLLC
- Family Medicine Physician
- Roseville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CLARA KAMATH-WOOD MD PLLC
- Practice address
- 18245 E 10 Mile Rd Ste 120
Roseville, MI 48066-5807 - Phone
- (586) 265-2680
- Fax
- (586) 265-2240
- NPI assigned
- Apr 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clara Kamath-Wood, MD
- Title
- Owner
- Phone
- (586) 265-2680
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
18245 E 10 Mile Rd Ste 120
Roseville, MI 48066-5807
Mailing address
PO Box 3272
Saginaw, MI 48605-3272
Phone (989) 797-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220506002091 | MI | Part B Supplier - Clinic/Group Practice | 6507243854 |
Receives reassigned benefits from 1 practitioner Practice locations: Roseville, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2258107 | Clara Kamath Wood MD PLLC | Certificate of waiver | Apr 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
18245 E 10 Mile Rd
Ste 120
Roseville, MI 48066
Phone (586) 265-2680
Practitioners & affiliated clinicians
Practitioners 1
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": "1650240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665964800000",
"number": "1073256145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3272",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486053272",
"telephone_number": "989-797-1400",
"fax_number": "989-797-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18245 E 10 MILE RD STE 120",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480665807",
"telephone_number": "586-265-2680",
"fax_number": "586-265-2240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARA KAMATH-WOOD MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-18",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A",
"authorized_official_last_name": "KAMATH-WOOD",
"authorized_official_first_name": "CLARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-265-2680",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.