Organization Active NPI

D.V. Pasupuleti, MD and Associates, P.C.

  • Neurology Physician
  • Flint, MI
National Provider Identifier
1154650372
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
D.V. PASUPULETI, MD AND ASSOCIATES, P.C.
Practice address
2370 S Linden Rd
Flint, MI 48532-5424
Phone
(810) 230-7770
Fax
(810) 230-0639
NPI assigned
Dec 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Bhanu (Bonnie) Pasupuleti
Title
Off Mang.
Phone
(810) 230-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2370 S Linden Rd
Flint, MI 48532-5424

Mailing address

2370 S Linden Rd
Flint, MI 48532-5424
Phone (810) 230-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100421000704 MI Part B Supplier - Clinic/Group Practice 3971630062 Receives reassigned benefits from 1 practitioner
Practice locations: Flint, MI; Grand Blanc, MI

National Provider Directory

National Provider Directory

Locations

2370 S Linden Rd
Flint, MI 48532
Phone (313) 230-7770

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/qAVEa7m1IQ-JEiYJqzzgxOEBv0A3Rmhs/

Practitioners & affiliated clinicians

Practitioners 1

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": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1154650372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325424",
            "telephone_number": "810-230-7770",
            "fax_number": "810-230-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325424",
            "telephone_number": "810-230-7770",
            "fax_number": "810-230-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.V. PASUPULETI, MD AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "PASUPULETI",
        "authorized_official_first_name": "BHANU (BONNIE)",
        "authorized_official_title_or_position": "OFF MANG.",
        "authorized_official_telephone_number": "810-230-7770"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.