Rani Thangam Potti, M.D. M.P.H.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301058831 Issued in MI

Practice address

4215 S Beech Daly St
Dearborn Heights, MI 48125-1567

Phone

(313) 278-7750

Fax

(313) 278-8729

NPI assigned

Jul 18, 2005

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Beech Daly Medical Center, PLLC

  • General Practice Physician
  • Dearborn Heights, MI
  • NPI 1326160433
  NPD (past)
• Southgate Urgent Care PC

  • Urgent Care Clinic/Center
  • Southgate, MI
  • NPI 1790967339
  NPD (past)
• Warren Urgent Care PC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1255513891
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811996333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18249 CASCADE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481673288",
            "telephone_number": "248-596-9580",
            "fax_number": "313-278-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 S BEECH DALY ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251567",
            "telephone_number": "313-278-7750",
            "fax_number": "313-278-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTI",
        "first_name": "RANI",
        "middle_name": "THANGAM",
        "name_prefix": "Dr.",
        "credential": "M.D. M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301058831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICESHMO",
            "identifier": "136969",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08-0-63-4196-2",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "CIGNA",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5894046",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darin Pittman
• Stella Placinta
• Platinum Primary Care, PLLC
• Nelson Joseph Pont, DPM
• Thomas Popiel, PT
• Keyarra Powell
• Kathleen Ilda Prahler Eisel, LLMSW, CRC
• Precious Angels Home Care LLC
• Precious in Gods Eyes Harris Room and Board Outreach Ministry Church
• Premier Dental Care

• Family Medicine Physician in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.