Organization Active NPI

Orandi Allergy and Asthma Center PLLC

  • Allergy & Immunology Physician
  • Wyoming, MI
National Provider Identifier
1376040360
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4301095171 Issued in MI
Legal business name
ORANDI ALLERGY AND ASTHMA CENTER PLLC
Practice address
2221 Health Dr SW Ste 1400
Wyoming, MI 49519
Phone
(616) 794-6301
Fax
(616) 504-1702
NPI assigned
Apr 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Dariush J Orandi, MDNPI 1538399613
Title
Owner
Phone
(616) 794-6301

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
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 4301095171 MI Primary

Addresses

Primary practice location

2221 Health Dr SW Ste 1400
Wyoming, MI 49519

Mailing address

PO Box 3140
Grand Rapids, MI 49501-3140
Phone (616) 459-6867

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180509000460 MI Part B Supplier - Clinic/Group Practice 4082978549 Receives reassigned benefits from 2 practitioners
Practice locations: Wyoming, MI

National Provider Directory

National Provider Directory

Locations

2221 Health Dr SW
Ste 1400
Wyoming, MI 49519
Phone (616) 794-6301

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1376040360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3140",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495013140",
            "telephone_number": "616-459-6867",
            "fax_number": "616-726-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 HEALTH DR SW STE 1400",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49519",
            "telephone_number": "616-794-6301",
            "fax_number": "616-504-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANDI ALLERGY AND ASTHMA CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-07",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "ORANDI",
        "authorized_official_first_name": "DARIUSH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-794-6301",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301095171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.