NPIMap

Individual provider Active NPI

Raghu Mulpuri, M.D.

  • Hospitalist Physician
  • Warren, MI
National Provider Identifier
1518962133
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
4301061786 Issued in MI
Practice address
27450 Schoenherr Rd
Suite 500
Warren, MI 48088-6683
Phone
(586) 582-7632
Fax
(586) 582-7633
NPI assigned
Jun 20, 2005
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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 4301061786 MI
Hospitalist Physician 208M00000X 4301061786 MI Primary

Addresses

Primary practice location

27450 Schoenherr Rd
Suite 500
Warren, MI 48088-6683

Mailing address

625 Perrien PL
Grosse Pointe Woods, MI 48236-1132
Phone (248) 265-4080

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
I20060328000637 MI Practitioner - Internal Medicine 1850309246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Cornerstone Medical GroupGroup PAC ID 7517162761, 65 clinicians

Practice addresses (Care Compare)

27450 Schoenherr Rd
Suite 500
Warren, MI 48088-6679
Phone (586) 582-7632

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301061786MIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients
Michigan Healthcare Professionals PC Internal Medicine Current Accepting new patients
Henry Ford Cornerstone Medical Group CurrentSince Jan 1, 2016 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients
Tricounty Hospitalists, PLLC Internal Medicine Past Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
Schoenherr Medical Assoicates PC Internal Medicine PastSince Jul 4, 2021 Accepting new patients

Locations

4260 Van Dyke Rd
Ste 102
Almont, MI 48003
Phone (810) 798-3994

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27483 Dequindre Rd
Ste 101
Madison Hts, MI 48071
Phone (248) 544-9050

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

11900 E 12 Mile Rd
Ste 300
Warren, MI 48093
Phone (586) 751-1515

27450 Schoenherr Rd
Ste 500
Warren, MI 48088
Phone (586) 582-7632

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 4

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1518962133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PERRIEN PL",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361132",
            "telephone_number": "248-265-4080",
            "fax_number": "248-265-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27450 SCHOENHERR RD",
            "address_2": "SUITE 500",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886683",
            "telephone_number": "586-582-7632",
            "fax_number": "586-582-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULPURI",
        "first_name": "RAGHU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301061786",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301061786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.