Individual provider Active NPI

Anu Duvoor, M.D.

  • Internal Medicine Physician
  • Clinton TWP, MI
National Provider Identifier
1528089497
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0063991 Issued in MD
Practice address
15520 19 Mile Road
Suite 480
Clinton TWP, MI 48038-6332
Phone
(586) 228-1010
Fax
(586) 228-8570
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0063991 MD Primary

Addresses

Primary practice location

15520 19 Mile Road
Suite 480
Clinton TWP, MI 48038-6332

Mailing address

15520 19 Mile Road
Suite 480
Clinton TWP, MI 48038-6332
Phone (586) 228-1010

Other names 1

  • Anupama Varadarajan Former 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
I20080731000721 MI Practitioner - Internal Medicine 8729086608 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0063991MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Internal Medicine PC Internal Medicine CurrentSince Aug 20, 2012 Accepting new patients
McLaren Macomb Past Accepting new patients
Telemed Consultants PLLC Internal Medicine Past Accepting new patients
Hospital Health Care Inc. Internal Medicine Past Accepting new patients

Locations

15520 19 Mile Rd
Ste 480
Clinton Twp, MI 48038
Phone (313) 228-1010

Interoperability endpoints

  • Direct secure messaging: anu.duvoor.1@31117.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Macomb Internal Medicine PC 8 clinicians

Practice addresses (Care Compare)

15520 19 Mile Rd
Suite 480
Clinton TWP, MI 48038-6332
Phone (586) 228-1010

Hospital & facility affiliations

  • Alpha Therapeutics, PC Home health agency, Warren, MI, CCN 237721
  • Residential Home Health Home health agency, Troy, MI, CCN 237459
  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1528089497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 19 MILE ROAD",
            "address_2": "SUITE 480",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386332",
            "telephone_number": "586-228-1010",
            "fax_number": "586-228-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15520 19 MILE ROAD",
            "address_2": "SUITE 480",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386332",
            "telephone_number": "586-228-1010",
            "fax_number": "586-228-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVOOR",
        "first_name": "ANU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2022-04-18",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0063991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANUPAMA",
            "last_name": "VARADARAJAN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.