Organization Active NPI

Access Direct Primary Care

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1700635257
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ACCESS DIRECT PRIMARY CARE
Practice address
24100 Drake Rd Ste a
Farmington Hills, MI 48335-3155
Phone
(248) 935-8103
Fax
(248) 509-0474
NPI assigned
May 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Surya Nallani, MDNPI 1801838651
Title
Owner
Phone
(248) 935-8103

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 Primary

Addresses

Primary practice location

24100 Drake Rd Ste a
Farmington Hills, MI 48335-3155

Mailing address

1229 Rothwell Dr
Troy, MI 48084-1577
Phone (248) 935-8103

National Provider Directory

National Provider Directory

Locations

24100 Drake Rd
Ste A
Farmington Hills, MI 48335
Phone (248) 471-5554

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1700635257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 ROTHWELL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841577",
            "telephone_number": "248-935-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 DRAKE RD STE A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483353155",
            "telephone_number": "248-935-8103",
            "fax_number": "248-509-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DIRECT PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "NALLANI",
        "authorized_official_first_name": "SURYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-935-8103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.