Samasandrapalya Kiran MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

SK063975 Issued in MI

Legal business name

SAMASANDRAPALYA KIRAN MD PC

Practice address

3353 Fleckenstein Rd
Flint, MI 48507-3035

Phone

(810) 720-1790

Fax

(810) 720-1794

NPI assigned

May 23, 2007

Last updated

Sep 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sherri Fisher

Title

Office Manager

Phone

(810) 720-1790

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Samasandrapalya R Kiran, MD

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1912980970
  Medicare reassignment NPD
• Mona Hardas, M.D.

  • Obstetrics & Gynecology Physician
  • Flint, MI
  • NPI 1356456511
  NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1740490218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 FLECKENSTEIN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073035",
            "telephone_number": "810-720-1790",
            "fax_number": "810-720-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 FLECKENSTEIN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073035",
            "telephone_number": "810-720-1790",
            "fax_number": "810-720-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMASANDRAPALYA KIRAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-720-1790"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "SK063975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104310422",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Salvati, RN
• Meredith E Salyers, OTR/L
• Savannah Sam-Flood
• Sam's Club Optical (Sam's Club Optical 30-8291)
• Sam's Club Pharmacy
• Christine Marie Samida, MSW
• Samiullah H Sayyid MD PC
• Suhana Sammi
• Thomas A Sammon, MSW, LMSW, ACSW
• Tamara Sampson, MA, LLP

• Internal Medicine Physician in Flint, MI
• Providers in Flint, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.