Organization Active NPI

Rama C Mulpuri MD PLLC

  • Internal Medicine Physician
  • Saginaw, MI
National Provider Identifier
1649608993
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301065512 Issued in MI
Legal business name
RAMA C MULPURI MD PLLC
Practice address
4705 Towne Centre Rd
203
Saginaw, MI 48604-2818
Phone
(989) 799-6130
Fax
(989) 799-6146
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Authorized official

Name
Dr. Rama C Mulpuri, MDNPI 1366439697
Title
Owner
Phone
(989) 799-6130

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 4301065512 MI Primary

Addresses

Primary practice location

4705 Towne Centre Rd
203
Saginaw, MI 48604-2818

Mailing address

3785 Bay Rd
Saginaw, MI 48603
Phone (989) 791-2455

Other identifiers 3

IdentifierTypeStateIssuer
110G305120OtherMIBCBSM
364581245OtherAETNA
4833943MedicaidMI

Other names 1

  • RAMA CHERUKURI MULPURI MD Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131118000103 MI Part B Supplier - Clinic/Group Practice 4880820059 Receives reassigned benefits from 1 practitioner
Practice locations: Saginaw, 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
23D0968292Rama Mulpuri MD Internal Medicine4705 Towne Center Suite 203, Saginaw, MI 48604Certificate of waiverDec 7, 2027

National Provider Directory

National Provider Directory

Locations

4705 Towne Centre Rd
Ste 203
Saginaw, MI 48604
Phone (989) 799-6130

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": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1649608993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 BAY RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48603",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 TOWNE CENTRE RD",
            "address_2": "203",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042818",
            "telephone_number": "989-799-6130",
            "fax_number": "989-799-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMA C MULPURI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "MULPURI",
        "authorized_official_first_name": "RAMA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-799-6130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301065512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "110G305120",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "364581245",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4833943",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAMA CHERUKURI MULPURI MD",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "RAMA CHERUKURI MULPURI MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.