Active NPI
Rama Krishna Alavalapati, MD
- Nephrology Physician
- Warren, MI
National Provider Identifier
1477669893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 4301051374
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3127792 | Medicaid | MI |
Other names 1
- Rama Krishna Alavalapati
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Nephrologists PC | Nephrology | Current | 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.
-
- Nephrology Physician
- Warren, MI
- NPI 1770662827
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.