Individual provider Active NPI

Prabhat Pokhrel, M.D.

  • Family Medicine Physician
  • Burton, MI
National Provider Identifier
1871531848
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301080535 Issued in MI
Practice address
1460 N Center Rd
Burton, MI 48509-1429
Phone
(810) 715-4300
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301080535 MI Primary

Addresses

Primary practice location

1460 N Center Rd
Burton, MI 48509-1429

Mailing address

1460 N Center Rd
Burton, MI 48509-1429
Phone (810) 715-4300

Other identifiers 2

IdentifierTypeStateIssuer
PP080535OtherMIBCBS
4464602MedicaidMI

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
I20070308000518 MI Practitioner - Family Practice 3173626306 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

G3230 Beecher Rd
Suite 1
Flint, MI 48532-3604
Phone (810) 342-5656

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Genesys Hospital Current Accepting new patients
Henry Ford Health Genesys Hospital Family Medicine CurrentSince Jul 1, 2006 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Ascension Genesys Hospital CurrentSince Jul 1, 2006 Accepting new patients
McLaren Flint Family Medicine CurrentSince Oct 1, 2016 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Oct 27, 2014 Accepting new patients
Covenant Medical Center, Inc Family Medicine CurrentSince Oct 27, 2014 Accepting new patients
McLaren Flint Current Accepting new patients
McLaren Flint Past Accepting new patients
McLaren Flint Past Accepting new patients

Locations

2919 Wilder Rd
Bay City, MI 48706
Phone (989) 583-0180

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

G3230 Beecher Rd
Ste 1
Flint, MI 48532
Phone (810) 342-5620

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

5445 Ali Dr
Grand Blanc, MI 48439
Phone (810) 428-1181

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

5570 State St
Ste 2
Saginaw, MI 48603
Phone (989) 583-0100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1871531848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091429",
            "telephone_number": "810-715-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091429",
            "telephone_number": "810-715-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKHREL",
        "first_name": "PRABHAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301080535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PP080535",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4464602",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

Verify at the official NPI Registry.