NPIMap

Organization Active NPI

East Michigan Hospitalists PLLC

  • Internal Medicine Physician
  • Port Huron, MI
National Provider Identifier
1366825986
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EAST MICHIGAN HOSPITALISTS PLLC
Practice address
1217 Kearney St
Suite 2
Port Huron, MI 48060-3571
Phone
(810) 990-8302
Fax
(810) 990-8402
NPI assigned
Jul 1, 2015
Last updated
Jul 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Ponon D Kumar, MDNPI 1649246661
Title
President
Phone
(586) 260-9616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1217 Kearney St
Suite 2
Port Huron, MI 48060-3571

Mailing address

1217 Kearney St
Suite 2
Port Huron, MI 48060-3571
Phone (810) 990-8302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160127002445 MI Part B Supplier - Clinic/Group Practice 6800199621 Receives reassigned benefits from 12 practitioners
Practice locations: Port Huron, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1366825986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 KEARNEY ST",
            "address_2": "SUITE 2",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603571",
            "telephone_number": "810-990-8302",
            "fax_number": "810-990-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 KEARNEY ST",
            "address_2": "SUITE 2",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603571",
            "telephone_number": "810-990-8302",
            "fax_number": "810-990-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MICHIGAN HOSPITALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "PONON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-260-9616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.