KB Care, PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

KB CARE, PLLC

Practice address

4563 Washtenaw Ave Ste B
Ann Arbor, MI 48108-1011

Phone

(734) 263-1141

Fax

(734) 263-1142

NPI assigned

Feb 5, 2019

Last updated

Jun 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chidamber B. Alamelumamgapuram, MD

Title

MD

Phone

(734) 972-1610

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19423/brand/1/csg/1/fhir/r4

Practitioners 5

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.

• Ayesha Massey Bennett, FNP-C

  • Family Nurse Practitioner
  • Saint Clair Shores, MI
  • NPI 1053895193
  Medicare reassignment NPD
• Christopher Mark Denslow, FNP-BC

  • Family Nurse Practitioner
  • Nashua, NH
  • NPI 1003640863

  MI

  Medicare reassignment NPD
• Chidamber Bharath Alamelumangapuram, MD

  • Internal Medicine Physician
  • Jackson, MI
  • NPI 1992956122
  Medicare reassignment
• Diane Pearl, NP

  • Family Nurse Practitioner
  • Grand Rapids, MI
  • NPI 1417495524
  Medicare reassignment
• Whitney Frake

  • Family Nurse Practitioner
  • Peoria, IL
  • NPI 1275399081
  NPD

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1174088066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 S MAIN ST # 447",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4563 WASHTENAW AVE STE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081011",
            "telephone_number": "734-263-1141",
            "fax_number": "734-263-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "ALAMELUMAMGAPURAM",
        "authorized_official_first_name": "CHIDAMBER",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "734-972-1610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella A Kazerooni, MD
• Safa Abdul Kadar Kazi
• Sakina R Kazmi, MD
• Sofia Kazulkina, MA, LLP
• Nayla George Kazzi, M.D.
• Kelly Anne Kean, NP
• Lillian L Kearby, PSYD
• Betty Keathley
• James P Keating, NP
• Maria-Angelica Cerdena Keating, MSW

• Multi-Specialty Clinic/Center in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.