Active NPI
Alpha Medical Services PC
- Cardiovascular Disease Physician
- Novi, MI
National Provider Identifier
1881005114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301072495 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI 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.