Organization Active NPI

Pointe Medical Center PC

  • General Practice Physician
  • Grosse Pointe Woods, MI
National Provider Identifier
1689850133
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
POINTE MEDICAL CENTER PC
Practice address
20160 Mack Ave
Grosse Pointe Woods, MI 48236-1822
Phone
(313) 882-0640
Fax
(313) 882-3106
NPI assigned
Jan 15, 2008
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Srinivas Pulapaka
Title
Billing Supervisor
Phone
(313) 882-0640

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

20160 Mack Ave
Grosse Pointe Woods, MI 48236-1822

Mailing address

20160 Mack Ave
Grosse Pointe Woods, MI 48236-1822
Phone (313) 882-0640

National Provider Directory

National Provider Directory

Locations

20160 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 882-0640

26635 Woodward Ave
Huntington Woods, MI 48070
Phone (248) 548-6400

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1689850133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20160 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361822",
            "telephone_number": "313-882-0640",
            "fax_number": "313-882-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20160 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361822",
            "telephone_number": "313-882-0640",
            "fax_number": "313-882-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINTE MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "PULAPAKA",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "313-882-0640"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.