NPIMap

Individual provider Active NPI

Janaki V Annavarapu, MD

  • Internal Medicine Physician
  • Taylor, MI
National Provider Identifier
1104884097
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301067416 Issued in MI
Practice address
24555 Haig St
Taylor, MI 48180-3322
Phone
(313) 375-2000
NPI assigned
May 2, 2006
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301067416 MI Primary

Addresses

Primary practice location

24555 Haig St
Taylor, MI 48180-3322

Mailing address

24555 Haig St
Taylor, MI 48180-3322
Phone (313) 375-2000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jannavarapu19512@direct.hfhs.org
Direct Messaging Address jannavarapu19512@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050718000500 MI Practitioner - Internal Medicine 7315973864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

24555 Haig St
Taylor, MI 48180-3322
Phone (313) 375-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System -Free Standing Clinic CurrentSince Oct 1, 2011 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

24555 Haig St
Taylor, MI 48180
Phone (313) 292-6260

Interoperability endpoints

  • Direct secure messaging: jannavarapu19512@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1104884097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24555 HAIG ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803322",
            "telephone_number": "313-375-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24555 HAIG ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803322",
            "telephone_number": "313-375-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNAVARAPU",
        "first_name": "JANAKI",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301067416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jannavarapu19512@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "24555 Haig St",
            "city": "Taylor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481803322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jannavarapu19512@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "24555 Haig St",
            "city": "Taylor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481803322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.