Organization Active NPI

Commerce Primary Care, PC

  • Internal Medicine Physician
  • Commerce Township, MI
National Provider Identifier
1679797336
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Samuel Jonnalagadda, MDNPI 1427147628
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.

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
23D1048528Commerce Primary Care8800 Commerce Road, Commerce, MI 48382Certificate of waiverDec 4, 2027

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

2900 Union Lake Rd
Ste 219
Commerce Twp, MI 48382
Phone (248) 363-7500

Interoperability endpoints

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 430101076908 MI Primary

Addresses

NPPES NPI Registry

Primary 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

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.

Verify at the official NPI Registry.