Active NPI
Judy Indrakumaran
- Family Medicine Physician
- Mt Pleasant, MI
National Provider Identifier
1659509669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301094609
- Practice address
- 4851 E Pickard St
Mt Pleasant, MI 48858-2078 - Phone
- (989) 775-1610
- Fax
- (989) 775-1640
- NPI assigned
- Jun 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301094609 | MI | Primary |
Addresses
Primary practice location
4851 E Pickard St
Mt Pleasant, MI 48858-2078
Mailing address
4851 E Pickard St
Mt Pleasant, MI 48858-2078
Phone (989) 775-1610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301094609 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1659509669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4851 E PICKARD ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488582078",
"telephone_number": "989-775-1610",
"fax_number": "989-775-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4851 E PICKARD ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488582078",
"telephone_number": "989-775-1610",
"fax_number": "989-775-1640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INDRAKUMARAN",
"first_name": "JUDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-29",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301094609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, MI
- Elizabeth Ann Husbands, MA LLP
- Cora Katherine Hutchins, BCABA
- Melissa M Hutchinson, LPC
- Hyacinth Clinical Services and Consulting PLLC
- Olivia Anne Inchauste
- Amy Jo Inman, NP
- Inspire Counseling and Wellness PLLC
- Isabella Citizens for Health Inc
- Isabella Citizens for Health Inc
- Isabella Citizens for Health Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.