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

Last updated

Feb 22, 2008By the provider in NPPES

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

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, and the practitioner matching its NPPES authorized official.

• Brahmaiah P Rajesh, MD

  • Internal Medicine Physician
  • Saint Johns, MI
  • NPI 1225146046
  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": [],
    "endpoints": [],
    "other_names": []
}

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• Menta Nichole Back, LLMSW
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• Chelsea N Barnes, FNP-C
• Maureen Louise Barry, D.C.
• Kevin Anthony Bazan, D.P.T.

• Primary Care Clinic/Center in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• 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.