Organization Active NPI

Alpha Medical Services PC

  • Cardiovascular Disease Physician
  • Novi, MI
National Provider Identifier
1881005114
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ALPHA MEDICAL SERVICES PC
Practice address
26131, Sunbury CT
Novi, MI 48374
Phone
(248) 895-2069
Fax
(248) 697-9720
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Hari Kumar Dandapantula, MD
Title
MD/Owner
Phone
(248) 895-2069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

26131, Sunbury CT
Novi, MI 48374

Mailing address

25500 Goddard Rd
Taylor, MI 48180-3926
Phone (313) 914-2395

Other identifiers 1

IdentifierTypeStateIssuer
4301072495MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1881005114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803926",
            "telephone_number": "313-914-2395",
            "fax_number": "313-914-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26131, SUNBURY CT",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48374",
            "telephone_number": "248-895-2069",
            "fax_number": "248-697-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "DANDAPANTULA",
        "authorized_official_first_name": "HARI",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "248-895-2069",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301072495",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.