Active NPI
Rajani Rupesh Kakade, APRN (FNP-BC)
- Family Nurse Practitioner
- West Bloomfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704352619
- Practice address
- 4415 Crestdale Ave
West Bloomfield, MI 48323-1134 - Phone
- (248) 982-0756
- NPI assigned
- Jun 16, 2022
- Last updated
- Dec 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704352619 | MI | Primary |
Addresses
Primary practice location
4415 Crestdale Ave
West Bloomfield, MI 48323-1134
Mailing address
18000 W 9 Mile Rd Ste 525
Southfield, MI 48075-4080
Phone (248) 327-6196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traveling Physician Services PC | Nurse Practitioner | Current | Accepting new patients |
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
| Integrated Visiting Physician Solutions PC | Current | Accepting new patients | |
| Wellbridge of Clarkston, LLC | Past | Accepting new patients |
Locations
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
18000 W 9 Mile Rd
Ste 525
Southfield, MI 48075
Phone (248) 327-6195
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Southfield, MI
- NPI 1891109641
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1366337826
Nurse Practitioner
-
- Skilled Nursing Facility
- Independence Township, MI
- NPI 1669965299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1467182964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18000 W 9 MILE RD STE 525",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754080",
"telephone_number": "248-327-6196",
"fax_number": "248-327-6356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4415 CRESTDALE AVE",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483231134",
"telephone_number": "248-982-0756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKADE",
"first_name": "RAJANI",
"middle_name": "RUPESH",
"credential": "APRN (FNP-BC)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-16",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704352619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.