Individual provider Active NPI

Santhi Mekala, M.D.

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1730292368
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
SM074337 Issued in MI
Practice address
1397 S Linden Rd Ste a
Flint, MI 48532-4194
Phone
(810) 720-9300
Fax
(810) 720-9304
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X SM074337 MI Primary

Addresses

Primary practice location

1397 S Linden Rd Ste a
Flint, MI 48532-4194

Mailing address

1397 S Linden Rd Ste a
Flint, MI 48532-4194
Phone (810) 720-9300

Other identifiers 3

IdentifierTypeStateIssuer
104874955MedicaidMI
1107900041OtherMIBLUE CROSS BLUE SHIELD
P00027167OtherMIRAILROAD MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070518000372 MI Practitioner - Internal Medicine 4385741768 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
SM074337MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Apr 30, 2022 Accepting new patients
McLaren Medical Group Internal Medicine CurrentSince Apr 30, 2022 Accepting new patients
Mid-Michigan Hospitalist Group PC Internal Medicine Past Accepting new patients

Locations

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1730292368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 S LINDEN RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324194",
            "telephone_number": "810-720-9300",
            "fax_number": "810-720-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 S LINDEN RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324194",
            "telephone_number": "810-720-9300",
            "fax_number": "810-720-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKALA",
        "first_name": "SANTHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "SM074337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104874955",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1107900041",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00027167",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.