Active NPI
Raghavendra Subhash Paknikar, MD
- Gastroenterology Physician
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301508661
- Practice address
- 5300 Elliott Dr
Ypsilanti, MI 48197-8632 - Phone
- (734) 434-6262
- Fax
- (734) 434-9517
- NPI assigned
- Jun 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 4301508661 | MI | Primary |
Addresses
Primary practice location
5300 Elliott Dr
Ypsilanti, MI 48197-8632
Mailing address
5300 Elliott Dr
Ypsilanti, MI 48197-8632
Phone (734) 434-6262
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hurongastro@directaddress.net | Health Information Exchange (HIE) |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Michigan Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
205 N E Ave
Jackson, MI 49201-1753
Phone (517) 205-4800
36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-2671
5300 Elliott Dr
Ypsilanti, MI 48197-8632
Phone (734) 434-6262
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
- St Joe Mercy Hospital System Livonia
- Trinity Health Livingston Hospital
- Henry Ford Allegiance Health
- Chelsea Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 103 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 89 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301508661 | MI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huron Gastroenterology Associates PC | Gastroenterology | Current | Accepting new patients |
| St Mary Mercy Hospital Crna | Current | Accepting new patients | |
| St Mary Mercy Hospital Professional | Gastroenterology | Current | Accepting new patients |
| W. a. Foote Memorial Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| St Mary Mercy Hospital | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| St Mary Mercy Hospital Professional | Current | Accepting new patients | |
| Huron Gastroenterology Associates PC | Gastroenterology | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Gastroenterology | Current | Accepting new patients |
Locations
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000
20555 Victor Pkwy
#3A
Livonia, MI 48152
36650 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 434-6262
36650 5 Mile Rd
Livonia, MI 48154
Phone (734) 434-6262
36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800
5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262
Interoperability endpoints
- hurongastro@directaddress.net
- rpaknikar2757357@direct.trinity-health.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1144335639
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1528145554
-
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
- Gastroenterology Physician
- Howell, MI
- NPI 1265635593
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
-
- Certified Registered Nurse Anesthetist
- Livonia, MI
- NPI 1063602092
-
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1447953971
-
- Gastroenterology Physician
- Jackson, MI
- NPI 1326585522
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
- General Acute Care Hospital
- Chelsea, MI
- NPI 1992761985
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1700314846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 ELLIOTT DR",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481978632",
"telephone_number": "734-434-6262",
"fax_number": "734-712-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 ELLIOTT DR",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481978632",
"telephone_number": "734-434-6262",
"fax_number": "734-434-9517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAKNIKAR",
"first_name": "RAGHAVENDRA",
"middle_name": "SUBHASH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-02",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301508661",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hurongastro@directaddress.net",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "XML,PDF",
"address_1": "5300 Elliott Dr",
"city": "Ypsilanti",
"state": "MI",
"country_code": "US",
"postal_code": "481978632",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.