Organization Active NPI

Indira Alluru MD PC

  • Internal Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1700042868
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301085409 Issued in MI
Legal business name
INDIRA ALLURU MD PC
Practice address
414 Perry Rd
Grand Blanc, MI 48439-1467
Phone
(810) 695-1849
Fax
(810) 695-1736
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Indira Alluru, MDNPI 1003918095
Title
Owner
Phone
(810) 695-1849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301085409 MI Primary

Addresses

Primary practice location

414 Perry Rd
Grand Blanc, MI 48439-1467

Mailing address

414 Perry Rd
Grand Blanc, MI 48439-1467
Phone (810) 695-1489

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080923000652 MI Part B Supplier - Clinic/Group Practice 4688741242 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Blanc, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1700042868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PERRY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391467",
            "telephone_number": "810-695-1489",
            "fax_number": "810-695-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PERRY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391467",
            "telephone_number": "810-695-1849",
            "fax_number": "810-695-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIRA ALLURU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "ALLURU",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-695-1849",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301085409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.