Surya Nallani, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301073842 Issued in MI

Practice address

1229 Rothwell Dr
Troy, MI 48084

Phone

(248) 935-8103

Fax

(734) 338-8301

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Access Direct Primary Care

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1700635257
  NPD Authorized official
• Mdslivenow PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1215688965
  Medicare reassignment
• Positive Home Doctors, PC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1568477255
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1801838651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 ROTHWELL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841577",
            "telephone_number": "248-935-8103",
            "fax_number": "734-338-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 ROTHWELL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48084",
            "telephone_number": "248-935-8103",
            "fax_number": "734-338-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLANI",
        "first_name": "SURYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301073842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1108115181",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1821196551",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104797195",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D1049104",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva Najor, PHARMD
• Enas Nakkash, MD,PC
• Ghinwa Nakkash, MD
• Nour Nakrour, M.D.
• Sandeep Raj Naliath, PT
• Adrienne Francine Nalu, NP-C
• Nancy F Mansour-Habib M.D. P,C,
• Sirisha R. Nandalur, MD
• Partha S Nandi, MD
• Deepak Nandy

• Internal Medicine Physician in Troy, MI
• Providers in Troy, 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 Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.