Organization Active NPI

Madison Medical Center PC

Doing business as Madison Home Care

  • General Practice Physician
  • Troy, MI
National Provider Identifier
1073732178
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MADISON MEDICAL CENTER PC
Doing business as
Madison Home Care
Practice address
363 W Big Beaver Rd
Suite 200
Troy, MI 48084-5220
Phone
(248) 619-9471
Fax
(248) 619-9774
NPI assigned
Apr 25, 2007
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
MADISON MEDICAL CENTER PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. Ram Gunabalan, MDNPI 1710019955
Title
President
Phone
(248) 583-8922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

363 W Big Beaver Rd
Suite 200
Troy, MI 48084-5220

Mailing address

30781 Stephenson Hwy
Madison HTS, MI 48071-1618
Phone (248) 583-8922

Other names 1

  • Madison Home Care Doing business as

National Provider Directory

National Provider Directory
Part of
Madison Medical Ctr PC

Locations

28800 Ryan Rd
Warren, MI 48092
Phone (586) 573-6400

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1073732178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30781 STEPHENSON HWY",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480711618",
            "telephone_number": "248-583-8922",
            "fax_number": "248-583-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W BIG BEAVER RD",
            "address_2": "SUITE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845220",
            "telephone_number": "248-619-9471",
            "fax_number": "248-619-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MEDICAL CENTER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADISON MEDICAL CENTER PC",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "GUNABALAN",
        "authorized_official_first_name": "RAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-583-8922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.