Organization Active NPI

Rajakumari L Swamy MD PC

  • Internal Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1588878698
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301063241 Issued in MI
Legal business name
RAJAKUMARI L SWAMY MD PC
Practice address
4065 E Cook Rd
Grand Blanc, MI 48439-8021
Phone
(810) 695-2500
Fax
(810) 695-6766
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Rajakumari Swamy, MDNPI 1124044425
Title
Owner
Phone
(810) 695-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301063241 MI Primary

Addresses

Primary practice location

4065 E Cook Rd
Grand Blanc, MI 48439-8021

Mailing address

3495 S Center Rd
Burton, MI 48519-1455
Phone (810) 424-2007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051102000020 MI Part B Supplier - Clinic/Group Practice 6507883139 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Blanc, MI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0373002Rajakumari L Swamy, MD, PC4065 E Cook Road, Grand Blanc, MI 48439Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory

Locations

4065 E Cook Rd
Grand Blanc, MI 48439
Phone (810) 695-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1588878698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455",
            "telephone_number": "810-424-2007",
            "fax_number": "810-743-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 E COOK RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398021",
            "telephone_number": "810-695-2500",
            "fax_number": "810-695-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJAKUMARI L SWAMY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "SWAMY",
        "authorized_official_first_name": "RAJAKUMARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-695-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.