Active NPI
Commerce Primary Care, PC
- Internal Medicine Physician
- Commerce Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 430101076908
- 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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Samuel Jonnalagadda, MD
- Title
- Owner
- Phone
- (248) 363-7500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Commerce Township, MI
- NPI 1427147628
Internal Medicine, MI
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1048528 | Commerce Primary Care | Certificate of waiver | Dec 4, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040813000992 | MI | Part B Supplier - Clinic/Group Practice | 5799758165 |
Receives reassigned benefits from 7 practitioners Practice locations: Commerce Township, MI |
National Provider Directory
National Provider DirectoryLocations
2900 Union Lake Rd
Ste 219
Commerce Twp, MI 48382
Phone (248) 363-7500
Interoperability endpoints
- https://api.platform.athenahealth.com/20541/brand/1/csg/1/fhir/r4
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 430101076908 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
8800 Commerce Rd
Commerce Township, MI 48382-4413
Mailing address
8800 Commerce Rd
Commerce Township, MI 48382-4413
Phone (248) 363-7500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 17, 2010.
{
"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": []
}
Other providers in Commerce Township, MI
- 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 Psychiatry,PLLC
- Matthew J Compton, M.D.
- Cooley Lake Neck and Back Care Clinic LLC
- Costco Wholesale Corporation
Sources for this page
- 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.