Adult Diabetes & Endocrine Consultants, PLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

4301060039 Issued in MI

Legal business name

ADULT DIABETES & ENDOCRINE CONSULTANTS, PLC

Practice address

37650 Professional Center Dr
Suite 100a
Livonia, MI 48154-1197

Phone

(734) 462-1940

Fax

(734) 462-1960

NPI assigned

Nov 11, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Fabello-Gamiao, MDNPI 1144208232

Title

Owner

Phone

(734) 462-1940

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline F Fabello-Gamiao, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Livonia, MI
  • NPI 1144208232
  Authorized official Same address or phone
• Durga Yerasuri, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Livonia, MI
  • NPI 1851585582
  NPD (past)

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1568533768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37650 PROFESSIONAL CENTER DR",
            "address_2": "SUITE 100A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541197",
            "telephone_number": "734-462-1940",
            "fax_number": "734-462-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37650 PROFESSIONAL CENTER DR",
            "address_2": "SUITE 100A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541197",
            "telephone_number": "734-462-1940",
            "fax_number": "734-462-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT DIABETES & ENDOCRINE CONSULTANTS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FABELLO-GAMIAO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-462-1940",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301060039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.