Aruna Kumari Mukkamala, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

AM063233 Issued in MI

Practice address

2000 Chambers Road
Caro, MI 48723-9296

Phone

(989) 673-3191

Fax

(989) 673-0064

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• State of Michigan Office of Financial Management

  • Psychiatric Hospital
  • Westland, MI
  • NPI 1508883299
  Medicare reassignment
• State of Michigan Office of Financial Management

  • Psychiatric Hospital
  • Caro, MI
  • NPI 1194767996
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891808440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CHAMBERS ROAD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239296",
            "telephone_number": "989-673-3191",
            "fax_number": "989-673-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CHAMBERS ROAD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239296",
            "telephone_number": "989-673-3191",
            "fax_number": "989-673-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKKAMALA",
        "first_name": "ARUNA",
        "middle_name": "KUMARI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "AM063233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1102504071",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00252872",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Lynne Millerov, LMSW
• Michael Scott Misko, DDS
• Jodi Mitchell, LMSW
• Annalise Joy Moriarty, DNP
• Usha Rani Movva, M.D.
• Jaquaya Monae Murphy, LLBSW, LLMSW
• Matthew Nagy, LMSW
• Murthy Nannapaneni, M.D.
• Synthia Neeb, LBSW
• New Light Consultants, Inc

• Internal Medicine Physician in Caro, MI
• Providers in Caro, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.