Individual provider Active NPI

Lakshmi C. Palakurthi, MD

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1124137203
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207R00000X Issued in MI
Practice address
1777 Axtell Dr
#109
Troy, MI 48084-4404
Phone
(248) 649-2626
Fax
(248) 649-5284
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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 207R00000X MI Primary

Addresses

Primary practice location

1777 Axtell Dr
#109
Troy, MI 48084-4404

Mailing address

1777 Axtell Dr
#109
Troy, MI 48084-4404
Phone (248) 649-2626

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
I20040421000118 MI Practitioner - Internal Medicine 7911992649 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207R00000XMIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group, Michigan, PC Internal Medicine CurrentSince Feb 27, 2017 Accepting new patients
Michigan Medical Doctors PLLC Internal Medicine CurrentSince May 17, 2018 Accepting new patients
Ascension Borgess Hospital CurrentSince Jan 1, 2016 Accepting new patients
Ascension Borgess Hospital CurrentSince Jan 1, 2016 Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince May 26, 2018 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince May 26, 2018 Accepting new patients
Synergy Health, PC Internal Medicine Past Accepting new patients
Inij Home Health Care Inc Past Accepting new patients

Locations

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

1380 Coolidge Hwy
Ste 100
Troy, MI 48084
Phone (248) 288-4000

Organizations & group practices 9

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1124137203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR",
            "address_2": "#109",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844404",
            "telephone_number": "248-649-2626",
            "fax_number": "248-649-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR",
            "address_2": "#109",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844404",
            "telephone_number": "248-649-2626",
            "fax_number": "248-649-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAKURTHI",
        "first_name": "LAKSHMI",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.