Active NPI
Ali Orandi M.D., PLC
- Endocrinology, Diabetes & Metabolism Physician
- Jackson, MI
National Provider Identifier
1376681379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 4301061289
- Legal business name
- ALI ORANDI M.D., PLC
- Practice address
- 1310 Greenwood Ave
Suite 20
Jackson, MI 49203-3077 - Phone
- (517) 990-0029
- Fax
- (517) 990-0039
- NPI assigned
- Feb 2, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara A Hicks, CMA
- Title
- Office Manager
- Phone
- (517) 990-0029
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 4301061289 | MI | Primary |
Addresses
Primary practice location
1310 Greenwood Ave
Suite 20
Jackson, MI 49203-3077
Mailing address
1310 Greenwood Ave
Suite 20
Jackson, MI 49203-3077
Phone (517) 990-0029
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MI | |
| 0420088 | Other | MI | PHP |
| 1103811341 | Other | MI | BCBS |
| 4390534 | Other | MI | CIGNA |
National Provider Directory
National Provider DirectoryLocations
1310 Greenwood Ave
Ste 20
Jackson, MI 49203
Phone (517) 990-0029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376681379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 GREENWOOD AVE",
"address_2": "SUITE 20",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033077",
"telephone_number": "517-990-0029",
"fax_number": "517-990-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 GREENWOOD AVE",
"address_2": "SUITE 20",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033077",
"telephone_number": "517-990-0029",
"fax_number": "517-990-0039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALI ORANDI M.D., PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HICKS",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "517-990-0029",
"authorized_official_credential": "CMA"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MI",
"license": "4301061289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "0420088",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1103811341",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4390534",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.