Organization Active NPI

Jitendra P Katneni MD PC

Doing business as Internal Medicine Associates of Michigan

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1164455895
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301063797 Issued in MI
Legal business name
JITENDRA P KATNENI MD PC
Doing business as
Internal Medicine Associates of Michigan
Practice address
1170 Charter Dr
Suite a
Flint, MI 48532-3587
Phone
(810) 733-5000
Fax
(810) 733-5284
NPI assigned
Jul 8, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jitendra P Katneni, MDNPI 1710949813
Title
Owner
Phone
(810) 733-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301051876 MI
Internal Medicine Physician 207R00000X 4301063797 MI Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 4301051876 MI

Addresses

Primary practice location

1170 Charter Dr
Suite a
Flint, MI 48532-3587

Mailing address

5155 Norko Dr
Flint, MI 48507-3021
Phone (810) 230-7532

Other names 1

  • Internal Medicine Associates of Michigan Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090126000654 MI Part B Supplier - Clinic/Group Practice 3375607948 Receives reassigned benefits from 1 practitioner
Practice locations: Flint, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0726220Jitendra P Katneni MD1170 Charter Drive Suite a, Flint, MI 48532Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1170 Charter Dr
Ste A
Flint, MI 48532
Phone (810) 733-5000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1164455895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 NORKO DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073021",
            "telephone_number": "810-230-7532",
            "fax_number": "810-230-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CHARTER DR",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323587",
            "telephone_number": "810-733-5000",
            "fax_number": "810-733-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JITENDRA P KATNENI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KATNENI",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-733-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301051876",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063797",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301051876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Associates of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.