Janaki V Annavarapu, MD
Individual provider Active NPI Internal Medicine Physician · Taylor, MI
NPI 1104884097 · NPPES record last updated Mar 30, 2021
Key facts
- NPI
- 1104884097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301067416 (MI)
- Practice address
- 24555 Haig St
Taylor, MI 48180-3322 - Phone
- (313) 375-2000
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- 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 System
Practice addresses (Care Compare)
24555 Haig St
Taylor, MI 48180-3322
Phone (313) 375-2000
Hospital & facility affiliations
- Henry Ford Home Health Care
- Henry Ford Health Hospital
- Wyandotte Hospital and Medical Center
- Henry Ford Health West Bloomfield Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050718000500 | MI | Practitioner - Internal Medicine | 7315973864 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System -Free Standing Clinic | Current |
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
- jannavarapu19512@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301067416 | MI | Yes |
Addresses
Primary practice location
24555 Haig St
Taylor, MI 48180-3322
Mailing address
24555 Haig St
Taylor, MI 48180-3322
Phone (313) 375-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4314996-10 | Medicaid | MI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jannavarapu19512@direct.hfhs.org | ||
| Direct Messaging Address | jannavarapu19512@direct.hfhs.org |
Other providers in Taylor, MI
- Ahmad Ammar
- Leah Kristine Amorose
- Andrea Atwell
- Angle'S Touch Home Health Care LLC
- Ankle and Footcare Specialist PLC
- Floresco Villona Apolinar
- Arash Kiarash, M.D. , P.C
- Nsreen Arbid
- Angelique Armstrong
- Robert Michael Armstrong
All providers in Taylor, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.