Individual provider Active NPI

Rama Krishna Alavalapati, MD

  • Nephrology Physician
  • Warren, MI
National Provider Identifier
1477669893
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301051374 Issued in MI
Practice address
11900 Twelve Mile Road
Suite 200
Warren, MI 48093
Phone
(586) 558-9033
Fax
(586) 573-4209
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301051374 MI
Nephrology Physician 207RN0300X 4301051374 MI Primary

Addresses

Primary practice location

11900 Twelve Mile Road
Suite 200
Warren, MI 48093

Mailing address

11900 Twelve Mile Road
Suite 200
Warren, MI 48093
Phone (586) 558-9033

Other identifiers 1

IdentifierTypeStateIssuer
3127792MedicaidMI

Other names 1

  • Rama Krishna Alavalapati Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101213000589 MI Practitioner - Internal MedicinePractitioner - Nephrology 2466404785 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Nephrologists PC Nephrology CurrentSince Jul 1, 1997 Accepting new patients

Locations

11885 E 12 Mile Rd
Ste 302B
Warren, MI 48093
Phone (586) 558-9033

11900 E 12 Mile Rd
Ste 200
Warren, MI 48093
Phone (586) 558-9033

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1477669893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 TWELVE MILE ROAD",
            "address_2": "SUITE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48093",
            "telephone_number": "586-558-9033",
            "fax_number": "586-573-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 TWELVE MILE ROAD",
            "address_2": "SUITE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48093",
            "telephone_number": "586-558-9033",
            "fax_number": "586-573-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAVALAPATI",
        "first_name": "RAMA",
        "middle_name": "KRISHNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301051374",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301051374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3127792",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMA",
            "last_name": "ALAVALAPATI",
            "middle_name": "KRISHNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.