Organization Active NPI

Suresh Anne MD PC

Doing business as Asthma, Allergy and Immunology Center

  • Allergy & Immunology Physician
  • Flint, MI
National Provider Identifier
1801824768
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4301052842 Issued in MI
Legal business name
SURESH ANNE MD PC
Doing business as
Asthma, Allergy and Immunology Center
Practice address
5155 Norko Dr
Flint, MI 48507-3021
Phone
(810) 720-6700
Fax
(810) 230-7764
NPI assigned
Jun 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Suresh Anne, MDNPI 1336101443
Title
President
Phone
(810) 720-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207K00000X 4301052842 MI Primary
Allergy & Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207K00000X 4301039021 MI
Allergy & Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207K00000X 4301070273 MI

Addresses

Primary practice location

5155 Norko Dr
Flint, MI 48507-3021

Mailing address

5155 Norko Dr
Flint, MI 48507-3021
Phone (810) 720-6700

Other names 1

  • Asthma, Allergy and Immunology Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090311000112 MI Part B Supplier - Clinic/Group Practice 5395801708 Receives reassigned benefits from 4 practitioners
Practice locations: Flint, MI; Troy, MI; Southfield, MI; Owosso, MI; Novi, MI; Midland, MI; Livonia, MI; Lapeer, MI…

National Provider Directory

National Provider Directory

Locations

5155 Norko Dr
#I
Flint, MI 48507
Phone (810) 720-6700

39000 7 Mile Rd
Ste 2000
Livonia, MI 48152
Phone (248) 347-8121

2621 W Wackerly St
Midland, MI 48640
Phone (989) 631-6125

801 Joe Mann Blvd
Ste L
Midland, MI 48642
Phone (989) 631-6125

1490 N M 52
Ste 2
Owosso, MI 48867
Phone (989) 729-4090

300 Health Park Dr
Ste 303
Owosso, MI 48867
Phone (989) 723-2299

1265 W Huron St
Ste 200
Waterford, MI 48328
Phone (248) 683-0077

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801824768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 NORKO DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073021",
            "telephone_number": "810-720-6700",
            "fax_number": "810-230-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 NORKO DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073021",
            "telephone_number": "810-720-6700",
            "fax_number": "810-230-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESH ANNE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANNE",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-720-6700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301052842",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301039021",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301070273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asthma, Allergy and Immunology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.