Organization Active NPI

Dupati Group PLLC

  • Dermatology Physician
  • Rochester Hills, MI
National Provider Identifier
1295389294
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DUPATI GROUP PLLC
Practice address
555 Barclay Cir Ste 170
Rochester Hills, MI 48307-4574
Phone
(415) 802-1310
Fax
(248) 294-1388
NPI assigned
Jul 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Authorized official

Name
Dr. Arjun Dupati, MDNPI 1679987127
Title
Owner/Medical Doctor
Phone
(415) 802-1310

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

555 Barclay Cir Ste 170
Rochester Hills, MI 48307-4574

Mailing address

555 Barclay Cir Ste 170
Rochester Hills, MI 48307-4574
Phone (415) 802-1310

Other practice location 1

1349 S Rochester Rd Ste 100
Rochester Hills, MI 48307-3151
Phone (415) 802-1310

Other names 1

  • Apollo Dermatology Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drdupati@apollodermclinic.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191017000522 MI Part B Supplier - Clinic/Group Practice 9739410077 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester Hills, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2183606Apollo Dermatology555 Barclay Circle Suite 170, Rochester Hills, MI 48307ComplianceDec 21, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1295389294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BARCLAY CIR STE 170",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074574",
            "telephone_number": "415-802-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BARCLAY CIR STE 170",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074574",
            "telephone_number": "415-802-1310",
            "fax_number": "248-294-1388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1349 S Rochester Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483073151",
            "country_code": "US",
            "telephone_number": "415-802-1310",
            "fax_number": "248-294-1388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DUPATI GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "DUPATI",
        "authorized_official_first_name": "ARJUN",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "415-802-1310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drdupati@apollodermclinic.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1349 S Rochester Rd Ste 100",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483073151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Apollo Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apollo Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.