Xavier MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

XAVIER MD PC

Practice address

31500 Telegraph Rd Ste 115
Bingham Farms, MI 48025-4302

Phone

(248) 621-9200

NPI assigned

Aug 11, 2016

Last updated

Jun 8, 2020By 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

Angela Amudha Xavier

Title

President

Phone

(248) 621-9200

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Stroke Team One2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stroke Team One

  • Neurology Physician
  • Pontiac, MI
  • NPI 1699124503
  NPD tax ID

Practitioners 2

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.

• Jyothi A. Kadambi, MD

  • Internal Medicine Physician
  • West Bloomfield, MI
  • NPI 1215919840
  Medicare reassignment NPD
• Andrew Rathnasamy Xavier, MD

  • Vascular Neurology Physician
  • Mountain View, CA
  • NPI 1124097225
  NPD

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1265986806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6632 TELEGRAPH RD",
            "address_2": "204",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483013012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH RD STE 115",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254302",
            "telephone_number": "248-621-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6632 Telegraph Rd",
            "address_2": "204",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "MI",
            "postal_code": "483013012",
            "country_code": "US",
            "telephone_number": "248-203-2132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "XAVIER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "XAVIER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "AMUDHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-621-9200"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699124503",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylour Wright
• Madison Taylor Wrightsattler
• Emily Wrobel
• Rachael Anne Wrobel
• Nolan Wyatt
• Yesha Yadav
• Hager Yahya
• Kriscilla Yandura
• Destiny Yang
• Stephanie Yee

• Internal Medicine Physician in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.