B.P. Rajesh, MD, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4301060307 Issued in MI

Legal business name

B.P. RAJESH, MD, PLLC

Practice address

306 Elm Street
Suite B
Saint Johns, MI 48879-2068

Phone

(989) 224-2100

Fax

(989) 224-0784

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jane E Snyder

Title

Office Manager

Phone

(989) 224-2100

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brahmaiah P Rajesh, MD

  • Internal Medicine Physician
  • Saint Johns, MI
  • NPI 1225146046

  MI

  Medicare reassignment

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1851584585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E ELM ST",
            "address_2": "SUITE B",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792336",
            "telephone_number": "989-224-2100",
            "fax_number": "989-224-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 ELM STREET",
            "address_2": "SUITE B",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792068",
            "telephone_number": "989-224-2100",
            "fax_number": "989-224-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.P. RAJESH, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-224-2100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301060307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4575965",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "11-0-A9-1027-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Anderson, DPT
• Anthony Marl DO PLLC
• Avery Vision Center PC
• Stevie Nicole Avey, RN
• Ogochukwu Udoka Azuh, MD
• Menta Nichole Back, LLMSW
• Balance Mi-Skills, Inc.
• Chelsea N Barnes, FNP-C
• Maureen Louise Barry, D.C.
• Kevin Anthony Bazan, D.P.T.

• All providers in Saint Johns, MI
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.