Organization Active NPI

Retina Institute of Michigan PLLC

  • Medical Specialty Clinic/Center
  • Bingham Farms, MI
National Provider Identifier
1083172266
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
RETINA INSTITUTE OF MICHIGAN PLLC
Practice address
31500 Telegraph Rd Ste 5
Bingham Farms, MI 48025-4329
Phone
(248) 621-0200
NPI assigned
Mar 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Authorized official

Name
Dr. Anu Singla Patel, MDNPI 1467652891
Title
Owner
Phone
(248) 621-0200

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

31500 Telegraph Rd Ste 5
Bingham Farms, MI 48025-4329

Mailing address

31500 Telegraph Rd Ste 5
Bingham Farms, MI 48025-4329
Phone (248) 621-0200

Other names 1

  • Retina Institute of Michigan PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190507001161 MI Part B Supplier - Clinic/Group Practice 9032451380 Receives reassigned benefits from 1 practitioner
Practice locations: Bingham Farms, MI

National Provider Directory

National Provider Directory

Locations

31500 Telegraph Rd
Ste 005
Bingham Farms, MI 48025
Phone (248) 594-6702

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": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1083172266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH RD STE 5",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254329",
            "telephone_number": "248-621-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH RD STE 5",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254329",
            "telephone_number": "248-621-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA INSTITUTE OF MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANU",
        "authorized_official_middle_name": "SINGLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-621-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Institute of Michigan PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.