Organization Active NPI

Haranath Policherla M.D. PC

Doing business as pointe neurology

  • Neurology Physician
  • Grosse Pointe Woods, MI
National Provider Identifier
1275739351
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
HARANATH POLICHERLA M.D. PC
Doing business as
pointe neurology
Practice address
20160 Mack Ave
Grosse Pointe Woods, MI 48236-1822
Phone
(313) 882-0640
Fax
(313) 882-3106
NPI assigned
Jun 25, 2007
Last updated
Dec 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Haranath Policherla, MD ACPNPI 1669493912
Title
President
Phone
(313) 882-0640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

20160 Mack Ave
Grosse Pointe Woods, MI 48236-1822

Mailing address

20160 Mack Ave
Grosse Pointe Woods, MI 48236-1822
Phone (313) 882-0640

Other identifiers 1

IdentifierTypeStateIssuer
HP050806OtherMIBLUE CROSS PIN#

Other names 1

  • pointe neurology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070723000277 MI Part B Supplier - Clinic/Group Practice 2163470733 Receives reassigned benefits from 4 practitioners
Practice locations: Grosse Pointe Woods, MI; Roseville, MI

National Provider Directory

National Provider Directory

Locations

18245 E 10 Mile Rd
Ste 160
Roseville, MI 48066
Phone (313) 882-8600

8384 Metropolitan Pkwy
Sterling Heights, MI 48312
Phone (313) 883-8600

8545 Common Rd
Ste 110
Warren, MI 48093
Phone (586) 393-3001

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1275739351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20160 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361822",
            "telephone_number": "313-882-0640",
            "fax_number": "313-882-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20160 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361822",
            "telephone_number": "313-882-0640",
            "fax_number": "313-882-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARANATH POLICHERLA M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "POLICHERLA",
        "authorized_official_first_name": "HARANATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-882-0640",
        "authorized_official_credential": "MD ACP"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN#",
            "identifier": "HP050806",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pointe neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.