Individual provider Active NPI

Ruckmani Achari, MD

  • General Practice Physician
  • Westland, MI
National Provider Identifier
1336345412
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
049095 Issued in MI
Practice address
33116 Palmer Road
Dr Bala Setty Suite D
Westland, MI 48186
Phone
(734) 729-4343
Fax
(734) 729-0222
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 049095 MI Primary

Addresses

Primary practice location

33116 Palmer Road
Dr Bala Setty Suite D
Westland, MI 48186

Mailing address

44821 Danbury Road
Canton, MI 48188-1053
Phone (734) 981-7826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
049095MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Bala Setty MD PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336345412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44821 DANBURY ROAD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881053",
            "telephone_number": "734-981-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33116 PALMER ROAD",
            "address_2": "DR BALA SETTY SUITE D",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "48186",
            "telephone_number": "734-729-4343",
            "fax_number": "734-729-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHARI",
        "first_name": "RUCKMANI",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "049095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.