Individual provider Active NPI

Ramesh Babu Avula, M.D.

  • Allergy & Immunology Physician
  • Lansing, MI
National Provider Identifier
1205867967
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
RA056534 Issued in MI
Practice address
1515 Lake Lansing Rd
G-1
Lansing, MI 48912-3753
Phone
(517) 484-3966
Fax
(517) 484-9279
NPI assigned
Jul 5, 2006
Last updated
Aug 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X RA056534 MI Primary

Addresses

Primary practice location

1515 Lake Lansing Rd
G-1
Lansing, MI 48912-3753

Mailing address

1069 Harrington LN
East Lansing, MI 48823-7378
Phone (517) 333-0973

Other identifiers 1

IdentifierTypeStateIssuer
103255569MedicaidMI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090225000361 MI Practitioner - Allergy/Immunology 2365545076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1234 E Broomfield
Mt Pleasant, MI 48858-4491
Phone (517) 484-3966

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RA056534MIMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Centers of Central Michigan, PLC CurrentSince Apr 5, 2008 Accepting new patients

Locations

1515 Lake Lansing Rd
Ste G1
Lansing, MI 48912
Phone (517) 484-3966

1234 E Broomfield St
Mt Pleasant, MI 48858
Phone (517) 484-3966

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1205867967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 HARRINGTON LN",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237378",
            "telephone_number": "517-333-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LAKE LANSING RD",
            "address_2": "G-1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123753",
            "telephone_number": "517-484-3966",
            "fax_number": "517-484-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVULA",
        "first_name": "RAMESH",
        "middle_name": "BABU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "RA056534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103255569",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.