NPIMap

Individual provider Active NPI

Joyce Catherine Purakal, M.D.

  • Obstetrics & Gynecology Physician
  • Saint Clair Shores, MI
National Provider Identifier
1346360229
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301081983 Issued in MI
Practice address
21000 E 12 Mile Rd Ste 102
Saint Clair Shores, MI 48081-1156
Phone
(586) 447-5100
Fax
(586) 447-5090
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301081983 MI Primary

Addresses

Primary practice location

21000 E 12 Mile Rd Ste 102
Saint Clair Shores, MI 48081-1156

Mailing address

21000 E 12 Mile Rd Ste 102
Saint Clair Shores, MI 48081-1156
Phone (586) 447-5100

Other practice location 1

39200 Garfield Rd
Suite B
Clinton Twp, MI 48038-4095
Phone (586) 286-6060

Other identifiers 1

IdentifierTypeStateIssuer
JP081983OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071108000550 MI Practitioner - Obstetrics/Gynecology 4789772716 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians

Practice addresses (Care Compare)

21000 E 12 Mile Rd
Suite 102
Saint Clair Shores, MI 48081-1156
Phone (810) 447-5100

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301081983MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Semi Medical Group Obstetrics & Gynecology CurrentSince Apr 1, 2017 Accepting new patients
Henry Ford Health St. John Hospital Obstetrics & Gynecology CurrentSince Mar 4, 2017 Accepting new patients
Henry Ford Semi Medical Group Obstetrics & Gynecology Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Mar 4, 2017 Accepting new patients
Together Women'S Health Medical Group, P.C. Obstetrics & Gynecology CurrentSince Jun 1, 2021 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Semi Medical Group Obstetrics & Gynecology CurrentSince Apr 1, 2017 Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients

Locations

39200 Garfield Rd
Ste B
Clinton Twp, MI 48038
Phone (586) 286-6060

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22151 Moross Rd
Ste 303
Grosse Pointe, MI 48236
Phone (313) 881-6488

20373 Hall Rd
Macomb, MI 48044
Phone (586) 263-3886

21000 E 12 Mile Rd
Ste 102
St Clr Shores, MI 48081
Phone (586) 447-5100

3290 W Big Beaver Rd
Ste 444
Troy, MI 48084
Phone (248) 816-9200

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1346360229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 E 12 MILE RD STE 102",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811156",
            "telephone_number": "586-447-5100",
            "fax_number": "586-447-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 E 12 MILE RD STE 102",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811156",
            "telephone_number": "586-447-5100",
            "fax_number": "586-447-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39200 Garfield Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480384095",
            "country_code": "US",
            "telephone_number": "586-286-6060",
            "fax_number": "586-296-5055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURAKAL",
        "first_name": "JOYCE",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301081983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "JP081983",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.