Active NPI
Shalini Thoutreddy, MD
- Hematology & Oncology Physician
- Lapeer, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 4301080565
- Practice address
- 1295 Barry Dr Ste B
Lapeer, MI 48446-1369 - Phone
- (810) 667-4994
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 4301080565 | MI | Primary |
Addresses
Primary practice location
1295 Barry Dr Ste B
Lapeer, MI 48446-1369
Mailing address
1295 Barry Dr Ste B
Lapeer, MI 48446-1369
Phone (810) 667-4994
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200000026973 | Other | MI | PHYSICIANS HEALTH PLAN |
| 1103307661 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN/BLUE CARE NETWORK |
| 7470740 | Other | MI | AETNA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1295 Barry Dr
Suite B
Lapeer, MI 48446-1369
Phone (810) 667-4994
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301080565 | MI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Current | Accepting new patients | |
| Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| Memorial Hospital | Hematology & Oncology | Current | Accepting new patients |
Locations
9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1053463778
-
dba Memorial Medical Associates
- General Practice Physician
- Owosso, MI
- NPI 1235160532
Internal Medicine
-
dba Memorial Medical Associates
- General Practice Physician
- Owosso, MI
- NPI 1316008006
Hematology & Oncology
-
dba Memorial Medical Associates
- Anesthesiology Physician
- Owosso, MI
- NPI 1659527737
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Caro, MI
- NPI 1073568978
-
- General Acute Care Hospital
- Flint, MI
- NPI 1902894512
-
dba McLaren HealthCare Corporation
- General Acute Care Hospital
- Lapeer, MI
- NPI 1205824737
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1831197581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 BARRY DR STE B",
"city": "LAPEER",
"state": "MI",
"postal_code": "484461369",
"telephone_number": "810-667-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 BARRY DR STE B",
"city": "LAPEER",
"state": "MI",
"postal_code": "484461369",
"telephone_number": "810-667-4994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOUTREDDY",
"first_name": "SHALINI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MI",
"license": "4301080565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN",
"identifier": "200000026973",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN/BLUE CARE NETWORK",
"identifier": "1103307661",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7470740",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.