NPIMap

Organization Active NPI

Pratima Boinepalli MD, P.L.L.C

  • Primary Care Clinic/Center
  • Okemos, MI
National Provider Identifier
1821463175
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4301085879 Issued in MI
Legal business name
PRATIMA BOINEPALLI MD, P.L.L.C
Practice address
1901 Belwood Dr
Okemos, MI 48864-5908
Phone
(517) 347-4660
NPI assigned
Dec 10, 2015
Last updated
Dec 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Dr. Pratima Boinepalli, M.DNPI 1073794764
Title
Physician
Phone
(517) 347-4660

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4301085879 MI Primary

Addresses

Primary practice location

1901 Belwood Dr
Okemos, MI 48864-5908

Mailing address

1901 Belwood Dr
Okemos, MI 48864-5908
Phone (517) 347-4660

National Provider Directory

National Provider Directory

Locations

3945 Okemos Rd
Ste A1
Okemos, MI 48864
Phone (517) 295-5000

Practitioners & affiliated clinicians

Practitioners 2

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": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1821463175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 BELWOOD DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645908",
            "telephone_number": "517-347-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 BELWOOD DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645908",
            "telephone_number": "517-347-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATIMA BOINEPALLI MD, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "BOINEPALLI",
        "authorized_official_first_name": "PRATIMA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "517-347-4660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301085879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.