Sailaja Sarvepalli, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301063171 Issued in MI

Practice address

1021 E. Main Street
Edmore, MI 48829-9737

Phone

(989) 427-5320

Fax

(989) 427-8220

NPI assigned

Jun 6, 2006

Last updated

Sep 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Great Lakes Medical Associates, PCGroup PAC ID 5597746024, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heartland Hospice Hospice, Midland, MI, CCN 231550
• Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
• Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030
• Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035
• McLaren Central Michigan Hospital, Mount Pleasant, MI, CCN 230080
• Sheridan Community Hospital Hospital, Sheridan, MI, CCN 231312

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sailajasarvepalli.greatlakesmedicalassoc@133997.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Great Lakes Medical Associates, PC

  • Internal Medicine Physician
  • Edmore, MI
  • NPI 1811094295

  Family Medicine

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Central Michigan

  • Rural Acute Care Hospital
  • Mt Pleasant, MI
  • NPI 1619941317
  Care Compare affiliation
• Mymichigan Medical Center Alma

  • General Acute Care Hospital
  • Alma, MI
  • NPI 1023097771
  Care Compare affiliation
• Mymichigan Medical Center Clare

  • General Acute Care Hospital
  • Clare, MI
  • NPI 1568414589
  Care Compare affiliation
• Mymichigan Medical Center Midland

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1902841414
  Care Compare affiliation
• Odyssey Healthcare Holding Company

  dba Heartland

  • Community Based Hospice Care Agency
  • Midland, MI
  • NPI 1306546080
  Care Compare affiliation
• Sheridan Community Hospital

  • Critical Access Hospital
  • Sheridan, MI
  • NPI 1689618324
  Care Compare affiliation
• Spectrum Health United

  dba Corewell Health Greenville Hospital

  • General Acute Care Hospital
  • Greenville, MI
  • NPI 1457304495
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1194764878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 E MAIN ST",
            "city": "EDMORE",
            "state": "MI",
            "postal_code": "488298740",
            "telephone_number": "989-427-5320",
            "fax_number": "989-427-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E. MAIN STREET",
            "city": "EDMORE",
            "state": "MI",
            "postal_code": "488299737",
            "telephone_number": "989-427-5320",
            "fax_number": "989-427-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARVEPALLI",
        "first_name": "SAILAJA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301063171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS COMMERCIAL",
            "identifier": "0983228",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1006841",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1007287",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0805900382",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP COMMERCIAL",
            "identifier": "200000005869",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "20000002628",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Odonald, PHARMACIST
• Kaitlin Beth Papendick
• Premier Nursing Care, Inc
• Bruce Robert Reames Jr., PA-C
• Prakash Sarvepalli, M.D.

• Family Medicine Physician in Edmore, MI
• Providers in Edmore, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.