Detroit Medical Service PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301053629 Issued in MI

Legal business name

DETROIT MEDICAL SERVICE PLC

Practice address

4160 John R St
Suite 730
Detroit, MI 48201-2020

Phone

(313) 831-7005

Fax

(313) 831-7002

NPI assigned

Jun 9, 2006

Last updated

Sep 19, 2011By 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

Dr. Uma Gorrepati, MDNPI 1508864240

Title

Owner/Physician

Phone

(313) 831-7005

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Uma D Gorrepati, MD

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1508864240
  Authorized official Same address or phone

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1770524639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST",
            "address_2": "SUITE 730",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012020",
            "telephone_number": "313-831-7005",
            "fax_number": "313-831-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST",
            "address_2": "SUITE 730",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012020",
            "telephone_number": "313-831-7005",
            "fax_number": "313-831-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT MEDICAL SERVICE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "GORREPATI",
        "authorized_official_first_name": "UMA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "313-831-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301053629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Detroit Medical Centre
• Detroit Medical Clinic PC
• Detroit Medical Consultants PC
• Detroit Medical Group, PLLC
• Detroit Medical Pharmacy Inc (Detroit Medical Pharmacy)
• Detroit Meditation & Yoga
• Detroit Metro Medical
• Detroit Oral Surgery Specialists PLLC
• Detroit Peoples Community (The Peoples Action)
• Detroit Peoples Community (The Peoples Action)

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, 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 19, 2011; 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.