Active NPI
Detroit Medical Service PLC
- Internal Medicine Physician
- Detroit, MI
National Provider Identifier
1770524639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301053629
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Uma Gorrepati, MD
- Title
- Owner/Physician
- Phone
- (313) 831-7005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301053629 | MI | Primary |
Addresses
Primary practice location
4160 John R St
Suite 730
Detroit, MI 48201-2020
Mailing address
4160 John R St
Suite 730
Detroit, MI 48201-2020
Phone (313) 831-7005
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4582263 | Other | MI | AETNA |
| DR6312 | Other | MI | RAILROAD MEDICARE GROUP |
| E93374 | Other | MI | HAP |
| 137660 | Other | MI | CARE CHOICES |
| 1770524639 | Medicaid | MI | |
| 110H2322130 | Other | MI | BC GROUP |
| 110H242220 | Other | MI | BC GROUP |
| 1108298481 | Other | MI | BCBS |
| 8635261 | Other | MI | CIGNA |
National Provider Directory
National Provider DirectoryLocations
4160 John R St
Ste 730
Detroit, MI 48201
Phone (313) 831-7000
NPI Registry JSON
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4582263",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "DR6312",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "E93374",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "137660",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770524639",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC GROUP",
"identifier": "110H2322130",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC GROUP",
"identifier": "110H242220",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1108298481",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8635261",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- 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.