Commerce Primary Care, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

430101076908 Issued in MI

Legal business name

COMMERCE PRIMARY CARE, PC

Practice address

8800 Commerce Rd
Commerce Township, MI 48382-4413

Phone

(248) 363-7500

Fax

(248) 363-7700

NPI assigned

Apr 12, 2007

Last updated

May 17, 2010By 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

Samuel Jonnalagadda, MDNPI 1427147628

Title

Owner

Phone

(248) 363-7500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20541/brand/1/csg/1/fhir/r4

Practitioners 7

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.

• Samuel David Jonnalagadda, MD

  • Internal Medicine Physician
  • Commerce Township, MI
  • NPI 1427147628
  Medicare reassignment Care Compare group NPD Authorized official
• Lana Rose Elia

  • Family Nurse Practitioner
  • Commerce Township, MI
  • NPI 1619487550
  Medicare reassignment Care Compare group NPD
• Sydne Ann Frantz, FNP-C

  • Nurse Practitioner
  • Commerce Township, MI
  • NPI 1629884572
  Medicare reassignment Care Compare group NPD
• Jessica Lauren Graham, NP

  • Family Nurse Practitioner
  • Commerce Township, MI
  • NPI 1992005011
  Medicare reassignment Care Compare group NPD
• Alka Jain, M.D.

  • Internal Medicine Physician
  • Commerce TWP, MI
  • NPI 1962407544
  Medicare reassignment Care Compare group NPD
• Megan Sparling, FNP-C

  • Family Nurse Practitioner
  • Commerce TWP, MI
  • NPI 1053181149
  Medicare reassignment Care Compare group NPD
• Kathleen Farquhar, PA

  • Medical Physician Assistant
  • Commerce Township, MI
  • NPI 1962569467
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1679797336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 COMMERCE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824413",
            "telephone_number": "248-363-7500",
            "fax_number": "248-363-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 COMMERCE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824413",
            "telephone_number": "248-363-7500",
            "fax_number": "248-363-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMERCE PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "JONNALAGADDA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-363-7500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "430101076908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commerce Foot & Ankle Specialists, P.C.
• Commerce Medical Clinic
• Commerce Optometry, PLLC
• Commerce Pediatric Associates P.C.
• Commerce Periodontology, PLLC
• Commerce Township Dialysis Center LLC (Commerce Township Dialysis)
• Commerce Township Psychiatry,PLLC
• Matthew J Compton, M.D.
• Cooley Lake Neck and Back Care Clinic LLC
• Costco Wholesale Corporation

• Internal Medicine Physician in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.