Active NPI
Beena Nagappala, M.D.
- Family Medicine Physician
- Clinton Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301074847
- Practice address
- 42645 Garfield Rd
Suite 103
Clinton Township, MI 48038-5022 - Phone
- (586) 286-0050
- Fax
- (586) 286-0880
- NPI assigned
- Aug 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301074847 | MI | Primary |
Addresses
Primary practice location
42645 Garfield Rd
Suite 103
Clinton Township, MI 48038-5022
Mailing address
42645 Garfield Rd
Suite 103
Clinton Township, MI 48038-5022
Phone (586) 286-0050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4612530 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Semi Medical Group
Practice addresses (Care Compare)
17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900
43900 Garfield Rd
Suite 222
Clinton Township, MI 48038-1137
Phone (586) 286-0050
Hospital & facility affiliations
- Henry Ford Health St John Hospital
- Henry Ford Macomb Hospital
- Henry Ford Health Warren Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301074847 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Southeast Michigan Community Health | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Family Medicine | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Cornerstone Medical Group | Family Medicine | Current | Accepting new patients |
| Henry Ford Southeast Michigan Community Health | Current | Accepting new patients |
Locations
4260 Van Dyke Rd
Ste 102
Almont, MI 48003
Phone (810) 798-3994
42645 Garfield Rd
Ste 103
Clinton Twp, MI 48038
Phone (586) 286-0050
43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
2301 Van Dyke St
Detroit, MI 48214
Phone (313) 264-6497
1726 Howard St
Detroit, MI 48216
Phone (313) 338-3740
46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269
Interoperability endpoints
- bnagappala241766@direct.hfhs.org
- https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
- beena.nagappala.2@8209.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1851765374
-
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
- Nurse Practitioner
- Southfield, MI
- NPI 1235395195
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1912965088
Family Medicine
-
- Health Educator
- Auburn Hills, MI
- NPI 1902513302
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1366434318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42645 GARFIELD RD",
"address_2": "SUITE 103",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480385022",
"telephone_number": "586-286-0050",
"fax_number": "586-286-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42645 GARFIELD RD",
"address_2": "SUITE 103",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480385022",
"telephone_number": "586-286-0050",
"fax_number": "586-286-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGAPPALA",
"first_name": "BEENA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301074847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4612530",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.