NPIMap

Individual provider Active NPI

Lalitha Bhogineni, M.D.

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1366471021
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301065478 Issued in MI
Practice address
130 Town Center Dr Ste 209
Beaumont Civic Center Internal Medicine
Troy, MI 48084-1744
Phone
(248) 585-8340
Fax
(248) 585-8341
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301065478 MI Primary

Addresses

Primary practice location

130 Town Center Dr Ste 209
Beaumont Civic Center Internal Medicine
Troy, MI 48084-1744

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lbhogineni100795@direct.beaumont.edu

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
I20100108000215 MI Practitioner - Internal Medicine 1355482613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

130 Town Ctr Dr
Troy, MI 48084-1744
Phone (248) 585-8340

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Internal Medicine CurrentSince Jan 6, 2018 Accepting new patients
Jay H Sandberg DO PC Internal Medicine Current Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Jan 6, 2018 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

3132 Newport Rd
Newport, MI 48166
Phone (734) 586-9120

3535 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-1010

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

130 Town Center Dr
Ste 209
Troy, MI 48084
Phone (248) 585-8340

115 E Long Lake Rd
Troy, MI 48085
Phone (248) 828-7500

Interoperability endpoints

  • Direct secure messaging: lalithabhogineni@omc.allscriptsdirect.net

Organizations & group practices 4

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 12

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1366471021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TOWN CENTER DR STE 209",
            "address_2": "BEAUMONT CIVIC CENTER INTERNAL MEDICINE",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841744",
            "telephone_number": "248-585-8340",
            "fax_number": "248-585-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOGINENI",
        "first_name": "LALITHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301065478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbhogineni100795@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "130 Town Center Dr Ste 209",
            "address_2": "Beaumont Civic Center Internal Medicine",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480841744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.