Individual provider Active NPI

Lavanya A Cherukuri, M.D.

  • Obstetrics & Gynecology Physician
  • Flint, MI
National Provider Identifier
1639147473
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301075909 Issued in MI
Practice address
2 Hurley PLZ
Suite 204
Flint, MI 48503-5903
Phone
(810) 239-9444
Fax
(810) 239-8729
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301075909 MI Primary

Addresses

Primary practice location

2 Hurley PLZ
Suite 204
Flint, MI 48503-5903

Mailing address

2 Hurley PLZ Ste 204
Flint, MI 48503-5905
Phone (810) 606-0999

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
I20040813000567 MI Practitioner - Obstetrics/Gynecology 1951374461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians

Practice addresses (Care Compare)

1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787

1 Hurley PLZ
Flint, MI 48503-5902

102 N Adelaide St
Fenton, MI 48430-2670
Phone (810) 262-6555

Hospital & facility affiliations

  • Hurley Medical Center Hospital, Flint, MI, CCN 230132
  • McLaren Flint Hospital, Flint, MI, CCN 230141

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301075909MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center CurrentSince Sep 22, 2005 Accepting new patients
Obstetric & Gynecology Physicians of Flint, PC CurrentSince Jun 1, 2012 Accepting new patients
Hurley Medical Center Obstetrics & Gynecology CurrentSince Sep 22, 2005 Accepting new patients
Vitreoretinal Specialists PLC Past Accepting new patients
Hurley Medical Center Past Accepting new patients
Hurley Medical Center Past Accepting new patients

Locations

4272 W Vienna Rd
Clio, MI 48420
Phone (810) 687-2850

1125 S Linden Rd
Ste 210
Flint, MI 48532
Phone (810) 230-3370

1 Hurley Plz
#9
Flint, MI 48503

2 Hurley Plz
Ste 204
Flint, MI 48503
Phone (810) 239-9444

1 Hurley Plz
#3C
Flint, MI 48503

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

8384 Holly Rd
Ste 2
Grand Blanc, MI 48439
Phone (810) 344-9073

9400 S Saginaw Rd
Ste D
Grand Blanc, MI 48439
Phone (810) 344-9073

Interoperability endpoints

  • Direct secure messaging: lcherukuri1120940@direct.hfhs.org

Organizations & group practices 6

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 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1639147473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HURLEY PLZ STE 204",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035905",
            "telephone_number": "810-606-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HURLEY PLZ",
            "address_2": "SUITE 204",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035903",
            "telephone_number": "810-239-9444",
            "fax_number": "810-239-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERUKURI",
        "first_name": "LAVANYA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301075909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.