Organization Active NPI

Arjan Medical PLLC

  • Internal Medicine Physician
  • New Boston, MI
National Provider Identifier
1093582116
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ARJAN MEDICAL PLLC
Practice address
19270 Hannan Rd
New Boston, MI 48164-9812
Phone
(313) 710-4906
Fax
(877) 269-6962
NPI assigned
Dec 8, 2023
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Dr. Nadarajan Janakan, MDNPI 1134128812
Title
Owner
Phone
(248) 321-4856

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

19270 Hannan Rd
New Boston, MI 48164-9812

Mailing address

4052 Penrose Dr
Troy, MI 48098-6318
Phone (248) 321-4856

Other practice location 1

25500 Goddard Rd
Taylor, MI 48180-3926
Phone (313) 710-4906

Other practice location 2

34725 Palmer Rd
Westland, MI 48186-4460
Phone (313) 710-4906

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240123003654 MI Part B Supplier - Clinic/Group Practice 2860844099 Receives reassigned benefits from 1 practitioner
Practice locations: Dearborn, MI; New Boston, MI; Taylor, MI; Trenton, MI; Wyandotte, MI

National Provider Directory

National Provider Directory

Locations

19270 Hannan Rd
New Boston, MI 48164
Phone (248) 321-4856

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": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1093582116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 PENROSE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986318",
            "telephone_number": "248-321-4856",
            "fax_number": "231-216-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19270 HANNAN RD",
            "city": "NEW BOSTON",
            "state": "MI",
            "postal_code": "481649812",
            "telephone_number": "313-710-4906",
            "fax_number": "877-269-6962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25500 Goddard Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481803926",
            "country_code": "US",
            "telephone_number": "313-710-4906",
            "fax_number": "877-269-6962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34725 Palmer Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481864460",
            "country_code": "US",
            "telephone_number": "313-710-4906",
            "fax_number": "877-269-6962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARJAN MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "JANAKAN",
        "authorized_official_first_name": "NADARAJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-321-4856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Boston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.