Active NPI
Associated Physicians Group PLC
- Internal Medicine Physician
- Berkley, MI
National Provider Identifier
1447794102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ASSOCIATED PHYSICIANS GROUP PLC
- Practice address
- 1695 W 12 Mile Rd
Suite 200
Berkley, MI 48072-2182 - Phone
- (248) 548-9090
- Fax
- (248) 548-8462
- NPI assigned
- Dec 14, 2016
- Last updated
- Dec 14, 2016
- 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
- Nelum Gupta, MD
- Title
- Owner
- Phone
- (248) 548-9090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1695 W 12 Mile Rd
Suite 200
Berkley, MI 48072-2182
Mailing address
1695 W 12 Mile Rd
Suite 200
Berkley, MI 48072-2182
Phone (248) 548-9090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2125235 | Associated Physicians Group PLC | Certificate of waiver | Feb 1, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
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.
-
- Internal Medicine Physician
- Berkley, MI
- NPI 1811901309
-
- Family Medicine Physician
- Southfield, MI
- NPI 1063675114
-
- Endocrinology, Diabetes & Metabolism Physician
- Berkley, MI
- NPI 1073582417
-
- Internal Medicine Physician
- Berkley, MI
- NPI 1295759504
-
- Family Nurse Practitioner
- Southfield, MI
- NPI 1184139826
-
- Medical Physician Assistant
- Ferndale, MI
- NPI 1417478025
-
- Medical Physician Assistant
- Novi, MI
- NPI 1669634499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481673600000",
"number": "1447794102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 W 12 MILE RD",
"address_2": "SUITE 200",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480722182",
"telephone_number": "248-548-9090",
"fax_number": "248-548-8462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 W 12 MILE RD",
"address_2": "SUITE 200",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480722182",
"telephone_number": "248-548-9090",
"fax_number": "248-548-8462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED PHYSICIANS GROUP PLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-14",
"last_updated": "2016-12-14",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "NELUM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-548-9090",
"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 Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.