Individual provider Active NPI

Hema N Talasila, M.D.

  • Psychiatry Physician
  • Saginaw, MI
National Provider Identifier
1104827393
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301406352 Issued in MI
Practice address
2578 McLeod Dr N Suite 1
Saginaw, MI 48604-2859
Phone
(989) 799-5440
Fax
(989) 799-5651
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301406352 MI Primary

Addresses

Primary practice location

2578 McLeod Dr N Suite 1
Saginaw, MI 48604-2859

Mailing address

2578 McLeod Dr N Suite 1
Saginaw, MI 48604-2859
Phone (989) 799-5440

Other practice location 1

200 S Wenona St
Suite G29
Bay City, MI 48706-8820
Phone (989) 893-3212

Other identifiers 3

IdentifierTypeStateIssuer
1295917888OtherMINPI
3184350MedicaidMI
1104827393OtherMINPI

Other names 1

  • Hema Talasila MD PLLC Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL PRACTICEFUSION Health Information Exchange (HIE)

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
I20040406000655 MI Practitioner - Psychiatry 1456344464 Reassigns benefits to 1 organization
Practice locations: Bay City, MI; Saginaw, MI

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource Saginaw Inc Single Specialty CurrentSince Jan 1, 2008 Accepting new patients
Venkat Talasila Single Specialty PastSince Apr 5, 2012 Accepting new patients
Catholic Family Service Past Accepting new patients

Locations

3340 Hospital Rd
Saginaw, MI 48603
Phone (989) 790-7700

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/saginaw-e4d72067

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1104827393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2578 MCLEOD DR N SUITE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042859",
            "telephone_number": "989-799-5440",
            "fax_number": "989-799-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 MCLEOD DR N SUITE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042859",
            "telephone_number": "989-799-5440",
            "fax_number": "989-799-5651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Wenona St",
            "address_2": "SUITE G29",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487068820",
            "country_code": "US",
            "telephone_number": "989-893-3212",
            "fax_number": "989-893-0461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALASILA",
        "first_name": "HEMA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301406352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295917888",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3184350",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104827393",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PRACTICEFUSION",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2578 McLeod Dr N Ste 1",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486042859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEMA",
            "last_name": "TALASILA MD PLLC",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.