Individual provider Active NPI

Vani Radhika Talluri, NP

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1831539535
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704246813 Issued in MI
Practice address
45 West Grand River Avenue
Detroit, MI 48226-1701
Phone
(313) 324-8916
Fax
(313) 965-4424
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704246813 MI Primary

Addresses

Primary practice location

45 West Grand River Avenue
Detroit, MI 48226-1701

Mailing address

45 West Grand River Avenue
Detroit, MI 48226-1701
Phone (133) 248-1773

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwillner365576@direct.hfhs.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131120001805 MI Practitioner - Nurse Practitioner 8628204765 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

15717 15 Mile Rd
Clinton Township, MI 48035-2101
Phone (586) 285-3800

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System CurrentSince Jun 1, 2015 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jul 29, 2013 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jul 29, 2013 Accepting new patients
Henry Ford Macomb Hospital Corporation Nurse Practitioner CurrentSince Jan 21, 2015 Accepting new patients
Henry Ford Macomb Hospital Corporation Nurse Practitioner Current Accepting new patients
Henry Ford Urgent Care Nurse Practitioner CurrentSince Feb 1, 2022 Accepting new patients
Henry Ford Macomb Hospital Corporation Nurse Practitioner Current Accepting new patients
Henry Ford Health System Nurse Practitioner CurrentSince Jun 1, 2015 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients

Locations

1961 S Telegraph Rd
Bloomfield Township, MI 48302
Phone (248) 319-6190

80650 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6410

30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

45 Grand River Ave
Detroit, MI 48226
Phone (313) 324-8177

3500 15 Mile Rd
Sterling Hts, MI 48310
Phone (586) 977-9300

22505 Allen Rd
Woodhaven, MI 48183
Phone (734) 671-6217

Interoperability endpoints

  • Direct secure messaging: vani.talluri.1@30093.direct.athenahealth.com
  • Direct secure messaging: vtalluri2910@direct.hfhs.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1831539535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WEST GRAND RIVER AVENUE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261701",
            "telephone_number": "133-248-1773",
            "fax_number": "313-965-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WEST GRAND RIVER AVENUE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261701",
            "telephone_number": "313-324-8916",
            "fax_number": "313-965-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLURI",
        "first_name": "VANI",
        "middle_name": "RADHIKA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2021-02-15",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704246813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwillner365576@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "2799 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.