Organization Active NPI

Purushottam Naik, M.D, P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Flint, MI
National Provider Identifier
1184766958
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
4301058866 Issued in MI
Legal business name
PURUSHOTTAM NAIK, M.D, P.C.
Doing business as
Purushottam Naik, M.D.
Practice address
2425 Austins Pkwy
Suite 1
Flint, MI 48507-1344
Phone
(810) 238-8889
Fax
(810) 238-8912
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Purushottam Naik, M.D.
Title
Physician
Phone
(810) 238-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 4301058866 MI Primary

Addresses

Primary practice location

2425 Austins Pkwy
Suite 1
Flint, MI 48507-1344

Mailing address

2425 Austins Pkwy
Suite 1
Flint, MI 48507-1344
Phone (810) 238-8889

Other identifiers 1

IdentifierTypeStateIssuer
1102502341OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Purushottam Naik, M.D. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184766958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 AUSTINS PKWY",
            "address_2": "SUITE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071344",
            "telephone_number": "810-238-8889",
            "fax_number": "810-238-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 AUSTINS PKWY",
            "address_2": "SUITE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071344",
            "telephone_number": "810-238-8889",
            "fax_number": "810-238-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURUSHOTTAM NAIK, M.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAIK",
        "authorized_official_first_name": "PURUSHOTTAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "810-238-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301058866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1102502341",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purushottam Naik, M.D.",
            "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 Aug 22, 2020; 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.