Michigan Institute of Neurological Diseases, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

4301072378 Issued in MI

Legal business name

MICHIGAN INSTITUTE OF NEUROLOGICAL DISEASES, PLLC

Doing business as

Michigan Mind

Practice address

205 Page Ave
Suite B
Jackson, MI 49201-2462

Phone

(517) 795-1416

Fax

(517) 787-4280

NPI assigned

Apr 27, 2010

Last updated

Jul 23, 2010By 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

Dr. Umesh Verma, M.D.NPI 1891751806

Title

Owner/Medical Physician

Phone

(517) 990-5331

Specialties & licenses 1

Addresses

Other names 1

• Michigan Mind Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 4

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.

• Umesh Verma, MD

  • Neurology Physician
  • Jackson, MI
  • NPI 1891751806
  Medicare reassignment Authorized official
• Kavita Luthra, M.D

  • Nephrology Physician
  • Jackson, MI
  • NPI 1821151598
  NPD (past)
• Reddivalem Venkata Nagesh, MD

  • Nephrology Physician
  • Jackson, MI
  • NPI 1730122367
  NPD (past)
• Tarvinder Singh Matharu, M.D.

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1912985615
  NPD (past)

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1356668610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5091 OAK TREE CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481088573",
            "telephone_number": "517-795-1416",
            "fax_number": "517-787-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PAGE AVE",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012462",
            "telephone_number": "517-795-1416",
            "fax_number": "517-787-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN INSTITUTE OF NEUROLOGICAL DISEASES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "UMESH",
        "authorized_official_title_or_position": "OWNER/MEDICAL PHYSICIAN",
        "authorized_official_telephone_number": "517-990-5331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301072378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Mind",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Michael, MA TLLP
• Michigan Continuum Care PLLC
• Michigan Dentists PLLC
• Michigan Family Chiropractic-Jackson
• Michigan Family Practice, LLC
• Michigan Sleep Diagnostic Center, LLC
• Michigan Visiting Care
• Michigan-Online Therapy PLLC
• Mid Michigan Eye Care Center, PC (Specialty Eye Institute)
• Mid-Michigan Gastroenterology Consultants PC

• Neurology Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.