Organization Active NPI

Nelli Medical Services, P.C.

  • Infectious Disease Physician
  • Rochester Hills, MI
National Provider Identifier
1164846929
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301085938 Issued in MI
Legal business name
NELLI MEDICAL SERVICES, P.C.
Practice address
1349 S Rochester Rd
Suite 115
Rochester Hills, MI 48307-3150
Phone
(248) 759-4852
Fax
(248) 299-9860
NPI assigned
Feb 13, 2014
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Jinson Jose, MDNPI 1659605582
Title
President / Owner
Phone
(248) 299-9850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 4301085938 MI Primary

Addresses

Primary practice location

1349 S Rochester Rd
Suite 115
Rochester Hills, MI 48307-3150

Mailing address

5827 Calgary CT
Sterling Heights, MI 48314-3070
Phone (248) 759-4852

Other identifiers 2

IdentifierTypeStateIssuer
4301085938OtherMISTATE LICENSE
5315044008OtherMICDS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1164846929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 CALGARY CT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143070",
            "telephone_number": "248-759-4852",
            "fax_number": "248-299-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD",
            "address_2": "SUITE 115",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073150",
            "telephone_number": "248-759-4852",
            "fax_number": "248-299-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLI MEDICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "JINSON",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "248-299-9850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301085938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301085938",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "5315044008",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.