Individual provider Active NPI

Keerthi Rekha Karamched, M.D.

  • Allergy & Immunology Physician
  • Northville, MI
National Provider Identifier
1144669391
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4301109319 Issued in MI
Practice address
39901 Traditions Dr
Suite 210
Northville, MI 48168
Phone
(248) 305-4400
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301109319 MI
Internal Medicine Physician 207R00000X 2013020101 MO
Allergy & Immunology Physician 207K00000X 4301109319 MI Primary

Addresses

Primary practice location

39901 Traditions Dr
Suite 210
Northville, MI 48168

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20201210002566 TX Practitioner - Allergy/Immunology 7315176625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Oklahoma College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sandeep Gupta, MD, PAGroup PAC ID 2365411741, 10 clinicians

Practice addresses (Care Compare)

5068 W Plano Pkwy
Suite 300
Plano, TX 75093-4409
Phone (972) 596-4383

8210 Walnut Hill LN
Dallas, TX 75231-4421
Phone (214) 369-1901

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sandeep Gupta, MD, PA CurrentSince Nov 9, 2020 Accepting new patients
Regents of the University of Michigan Allergy & Immunology Past Accepting new patients
Regents of the University of Michigan Past Accepting new patients

Locations

8210 Walnut Hill Ln
Ste 810
Dallas, TX 75231
Phone (214) 363-1885

8220 Walnut Hill Ln
Ste 101
Dallas, TX 75231
Phone (214) 368-6707

3417 Gaston Ave
Ste 760
Dallas, TX 75246
Phone (214) 369-1907

2005 W Park Dr
Ste 210
Irving, TX 75061

5068 W Plano Pkwy
Ste 300
Plano, TX 75093
Phone (972) 447-8330

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1144669391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39901 TRADITIONS DR",
            "address_2": "SUITE 210",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "48168",
            "telephone_number": "248-305-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAMCHED",
        "first_name": "KEERTHI",
        "middle_name": "REKHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301109319",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2013020101",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301109319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.