Individual provider Active NPI

Ratnavalli Pasupulati, MD

  • Internal Medicine Physician
  • Macomb, MI
National Provider Identifier
1831394873
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RP082285 Issued in MI
Practice address
46857 Garfield Rd
Macomb, MI 48044-5225
Phone
(586) 532-8500
Fax
(586) 532-1515
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X RP082285 MI Primary

Addresses

Primary practice location

46857 Garfield Rd
Macomb, MI 48044-5225

Mailing address

3056 Albany CT
Troy, MI 48083-2595
Phone (248) 854-2266

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070806000523 MI Practitioner - Internal Medicine 3274624283 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Junction Clinic Health Center PLLCGroup PAC ID 4486022290, 2 clinicians

Practice addresses (Care Compare)

4771 Michigan Ave
Detroit, MI 48210-3247
Phone (313) 897-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RP082285MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Michigan Office of Financial Management CurrentSince Dec 7, 2024 Accepting new patients
Michigan Medical Doctors PLLC Internal Medicine CurrentSince Nov 27, 2018 Accepting new patients
Junction Clinic Health Center PLLC CurrentSince Dec 30, 2022 Accepting new patients
State of Michigan Office of Financial Management CurrentSince Dec 7, 2024 Accepting new patients
Academic Internal Medicine Specialists PLLC Internal Medicine PastSince Jul 1, 2010 Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
Pulsar Medical Group PC Internal Medicine Past Accepting new patients
Southgate Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
Macomb Internists PC Internal Medicine Past Accepting new patients

Locations

4771 Michigan Ave
Detroit, MI 48210
Phone (313) 897-2600

1380 Coolidge Hwy
Ste 100
Troy, MI 48084
Phone (248) 288-4000

30901 Palmer Rd
Westland, MI 48186
Phone (734) 367-8400

Interoperability endpoints

  • Direct secure messaging: ratnavalli.pasupulati@jchcp-mi.direct.office.nextgen.com
  • Direct secure messaging: rpasupulati531909@direct.hfhs.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831394873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 ALBANY CT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832595",
            "telephone_number": "248-854-2266",
            "fax_number": "810-765-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46857 GARFIELD RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445225",
            "telephone_number": "586-532-8500",
            "fax_number": "586-532-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASUPULATI",
        "first_name": "RATNAVALLI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "RP082285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.