Organization Active NPI

Rakesh N Saxena MD PC

  • Gastroenterology Physician
  • Alma, MI
National Provider Identifier
1790778363
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4310032524 (ACTIVE) Issued in MI
Legal business name
RAKESH N SAXENA MD PC
Practice address
311 E Warwick Dr
Alma, MI 48801-1013
Phone
(989) 463-4976
Fax
(989) 463-2249
NPI assigned
Aug 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rakesh N Saxena, MD
Title
President
Phone
(989) 463-4976

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 4310032524 (ACTIVE) MI Primary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 0419873 (INACTIVE) KS
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 82307 (INACTIVE LIC) NM

Addresses

Primary practice location

311 E Warwick Dr
Alma, MI 48801-1013

Mailing address

311 E Warwick Dr
Alma, MI 48801-1013
Phone (989) 463-4976

Other identifiers 7

IdentifierTypeStateIssuer
0400990OtherMIPHYSICIANS HEALTH PLAN
1102943802OtherMIBLUE CROSS/BLUE SHIELD
09497AOtherMIMID MI HEALTH
1071464MedicaidMI
1102058586OtherRAILROAD MEDICARE
M002396OtherTRICARE
1005137OtherMIMCLAREN

National Provider Directory

National Provider Directory

Locations

311 E Warwick Dr
Alma, MI 48801
Phone (989) 463-1472

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790778363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E WARWICK DR",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011013",
            "telephone_number": "989-463-4976",
            "fax_number": "989-463-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E WARWICK DR",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011013",
            "telephone_number": "989-463-4976",
            "fax_number": "989-463-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAKESH N SAXENA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAXENA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-463-4976",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4310032524 (ACTIVE)",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "0419873 (INACTIVE)",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "82307 (INACTIVE LIC)",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "0400990",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1102943802",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MID MI HEALTH",
            "identifier": "09497A",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1071464",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1102058586",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "M002396",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1005137",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.