NPIMap

Individual provider Active NPI

Damayanthi V Pandrangi, MD

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1407818594
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301063797 Issued in MI
Practice address
1170 Charter Dr
Suite a
Flint, MI 48532-3587
Phone
(810) 733-5000
Fax
(810) 733-5284
NPI assigned
Apr 4, 2006
Last updated
Feb 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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 4301063797 MI Primary

Addresses

Primary practice location

1170 Charter Dr
Suite a
Flint, MI 48532-3587

Mailing address

5155 Norko Dr
Flint, MI 48507-3021
Phone (810) 230-7532

Other identifiers 1

IdentifierTypeStateIssuer
4402239MedicaidMI

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
I20080807000468 MI Practitioner - Internal Medicine 4284708371 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

1170 Charter Dr
Flint, MI 48532-3587
Phone (810) 733-0500

G3230 Beecher Rd
Suite 2
Flint, MI 48532-3604
Phone (810) 342-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301063797MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Damayanthi Pandrangi MD PC Internal Medicine CurrentSince Jun 10, 2008 Accepting new patients
McLaren Flint Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
McLaren Flint CurrentSince Nov 1, 2018 Accepting new patients
Hurley Medical Center Internal Medicine CurrentSince Jan 1, 1998 Accepting new patients
Hurley Medical Center CurrentSince Jan 1, 1998 Accepting new patients
McLaren Flint Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Jitendra P Katneni MD PC Internal Medicine PastSince Aug 15, 2008 Accepting new patients

Locations

4272 W Vienna Rd
Clio, MI 48420
Phone (810) 687-2850

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1125 S Linden Rd
Ste 210
Flint, MI 48532
Phone (810) 230-3370

1170 Charter Dr
Ste E
Flint, MI 48532
Phone (810) 733-0500

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

5155 Norko Dr
Flint, MI 48507
Phone (810) 269-4015

G3230 Beecher Rd
Ste 2
Flint, MI 48532
Phone (810) 342-5800

8359 Office Park Dr
Grand Blanc, MI 48439
Phone (877) 347-7978

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1407818594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 NORKO DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073021",
            "telephone_number": "810-230-7532",
            "fax_number": "810-230-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CHARTER DR",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323587",
            "telephone_number": "810-733-5000",
            "fax_number": "810-733-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDRANGI",
        "first_name": "DAMAYANTHI",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4402239",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.