Individual provider Active NPI

Venkatasiva Reddy Peram, M.D.

  • Hematology & Oncology Physician
  • Flint, MI
National Provider Identifier
1881617702
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301070246 Issued in MI
Practice address
2222 S Linden Rd
Ste # G
Flint, MI 48532-5475
Phone
(810) 720-0002
Fax
(810) 720-0005
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4301070246 MI Primary

Addresses

Primary practice location

2222 S Linden Rd
Ste # G
Flint, MI 48532-5475

Mailing address

2222 S Linden Rd
Ste # G
Flint, MI 48532-5475
Phone (810) 720-0002

Other identifiers 1

IdentifierTypeStateIssuer
4774207MedicaidMI

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
I20040813000697 MI Practitioner - Hematology/Oncology 9537132063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5467 Hill 23 Dr
Flint, MI 48507-3966
Phone (810) 720-0002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Venkatasiva Peram MD, PC Hematology & Oncology CurrentSince Aug 1, 2005 Accepting new patients

Locations

2222 S Linden Rd
Ste G
Flint, MI 48532
Phone (248) 721-9545

5467 Hill 23 Dr
Flint, MI 48507
Phone (810) 423-7456

Interoperability endpoints

  • Direct secure messaging: vperam1144299@direct.hfhs.org
  • Direct secure messaging: venkatasiva.peram@peram.ikm.direct-ci.com

Organizations & group practices 1

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 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881617702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S LINDEN RD",
            "address_2": "STE # G",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325475",
            "telephone_number": "810-720-0002",
            "fax_number": "810-720-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S LINDEN RD",
            "address_2": "STE # G",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325475",
            "telephone_number": "810-720-0002",
            "fax_number": "810-720-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAM",
        "first_name": "VENKATASIVA",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301070246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4774207",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.