Organization Active NPI

Home Visiting Doctors PLLC

  • General Practice Physician
  • Southfield, MI
National Provider Identifier
1134660376
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HOME VISITING DOCTORS PLLC
Practice address
17515 W 9 Mile Rd Ste 180
Southfield, MI 48075-4400
Phone
(734) 276-6501
NPI assigned
Mar 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Babu Koneru
Title
Partner
Phone
(734) 276-6501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

17515 W 9 Mile Rd Ste 180
Southfield, MI 48075-4400

Mailing address

17515 W 9 Mile Rd Ste 180
Southfield, MI 48075-4400
Phone (734) 276-6501

National Provider Directory

National Provider Directory

Locations

29508 Southfield Rd
Ste 200
Southfield, MI 48076
Phone (734) 276-6501

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1134660376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD STE 180",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754400",
            "telephone_number": "734-276-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD STE 180",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754400",
            "telephone_number": "734-276-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME VISITING DOCTORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "KONERU",
        "authorized_official_first_name": "BABU",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "734-276-6501"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.