Individual provider Active NPI

Limangi Madhavan

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1700233186
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704275738 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(313) 874-4806
NPI assigned
May 16, 2016
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704275738 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806

Other practice location 1

2300 Haggerty Rd Ste 1010
West Bloomfield, MI 48323-2185
Phone (248) 926-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220204000466 MI Practitioner - Nurse Practitioner 1850784323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Urgent Care PLLCGroup PAC ID 3971869942, 26 clinicians

Practice addresses (Care Compare)

9749 Dixie Hwy
Suite B
Clarkston, MI 48348-5406
Phone (248) 942-5888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Urgent Care, P.L.L.C. CurrentSince Aug 4, 2024 Accepting new patients
Lakes Urgent Care, Inc. CurrentSince Dec 11, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Apr 1, 2022 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Apr 1, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Lakes Urgent Care Inc Past Accepting new patients

Locations

9749 Dixie Hwy
Ste B
Clarkston, MI 48348
Phone (248) 942-5888

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

2300 Haggerty Rd
Ste 1010
West Bloomfield, MI 48323
Phone (248) 668-0900

Interoperability endpoints

  • Direct secure messaging: limangi.madhavan.1@31854.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1700233186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-874-4806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Haggerty Rd Ste 1010",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483232185",
            "country_code": "US",
            "telephone_number": "248-926-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADHAVAN",
        "first_name": "LIMANGI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704275738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.