Active NPI
Juliann Pallikizhakethil
- Physician Assistant
- Northville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 38646 Wakefield CT
Northville, MI 48167-8957 - Phone
- (248) 974-2903
- NPI assigned
- Feb 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
38646 Wakefield CT
Northville, MI 48167-8957
Mailing address
38646 Wakefield CT
Northville, MI 48167-8957
Phone (248) 974-2903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
18 E 41St St
FL 14
New York, NY 10017-6244
Phone (215) 585-2144
6920 Miramar Rd
Suite 329
San Diego, CA 92121-2642
Phone (215) 585-2144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56463 | CA | MD | Pharmacist |
| 020673 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Workit Health Mi PLLC | Current | Accepting new patients | |
| Ophelia Medical Group FL, P.a. | Current | Accepting new patients | |
| Workit Health Mi PLLC | Current | Accepting new patients |
Locations
1280 Iroquois Ave
Ste 402
Naperville, IL 60563
Phone (872) 255-0357
3300 Washtenaw Ave
Ste 280
Ann Arbor, MI 48104
Phone (734) 329-5419
18 E 41st St
Fl 14
New York, NY 10017
Phone (305) 395-4313
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
527 Bay Rd
Ste 7
Queensbury, NY 12804
Phone (212) 585-2144
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NY
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- San Diego, CA
- NPI 1760153381
-
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- Naperville, IL
- NPI 1194487850
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- NPI 1689403958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1881133759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38646 WAKEFIELD CT",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481678957",
"telephone_number": "248-974-2903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38646 WAKEFIELD CT",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481678957",
"telephone_number": "248-974-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLIKIZHAKETHIL",
"first_name": "JULIANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-13",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.