Prime Care Physician PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301066341 Issued in MI

Legal business name

PRIME CARE PHYSICIAN PC

Practice address

121 W 13 Mile Rd
Madison Heights, MI 48071-1857

Phone

(248) 583-0960

Fax

(248) 583-0961

NPI assigned

Apr 3, 2008

Last updated

Feb 25, 2013By 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

Dr. Girija Maripudi, MDNPI 1346306685

Title

Owner

Phone

(248) 583-0960

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Girija Maripudi, MD

  • Internal Medicine Physician
  • Madison Heights, MI
  • NPI 1346306685
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1568635282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W 13 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711857",
            "telephone_number": "248-583-0960",
            "fax_number": "248-583-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W 13 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711857",
            "telephone_number": "248-583-0960",
            "fax_number": "248-583-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "MARIPUDI",
        "authorized_official_first_name": "GIRIJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-583-0960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301066341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4593972",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Health Medical Supplies Inc
• Premier Home Health Solutions Inc (Four Seasons Home Health Care)
• Premier Services of Michigan, LLC (Premier Care Madison Heights)
• Premise Health of Michigan Medical PC (MiLife - Madison Heights)
• Joshua Priehs
• Prime Hospice LLC
• Erika Prisco, FNP, MSN, AANC-BC
• Airin Sultana Prithy
• Proactive Performance, LLC
• Elijah Proge, LMSW

• General Practice Physician in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.