Organization Active NPI

G K Kumar MD PC

  • Gastroenterology Physician
  • Troy, MI
National Provider Identifier
1366609281
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
G K KUMAR MD PC
Practice address
1615 W Big Beaver Rd BLDG a
Troy, MI 48084-3539
Phone
(248) 649-2004
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
G Krishna Kumar, MD
Title
Dr
Phone
(248) 649-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1615 W Big Beaver Rd BLDG a
Troy, MI 48084-3539

Mailing address

1615 W Big Beaver Rd BLDG a
Troy, MI 48084-3539
Phone (248) 649-2004

Other identifiers 1

IdentifierTypeStateIssuer
101052100MedicaidMI

National Provider Directory

National Provider Directory

Locations

1615 W Big Beaver Rd
Ste A1
Troy, MI 48084
Phone (248) 649-2004

1615 W Big Beaver Rd
Bldg A
Troy, MI 48084
Phone (248) 649-2004

1615 W Big Beaver Rd
Troy, MI 48084
Phone (248) 649-2004

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1366609281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 W BIG BEAVER RD BLDG A",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843539",
            "telephone_number": "248-649-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 W BIG BEAVER RD BLDG A",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843539",
            "telephone_number": "248-649-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G K KUMAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "KRISHNA",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "248-649-2004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101052100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.