Organization Active NPI

Radha Cherukuri MD PC

  • Specialist
  • Saginaw, MI
National Provider Identifier
1891960951
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
RC051733 Issued in MI
Legal business name
RADHA CHERUKURI MD PC
Practice address
800 Cooper Ave
Suite 7
Saginaw, MI 48602-5394
Phone
(989) 755-4515
Fax
(989) 755-4516
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Dr. Radha Cherukuri, MD
Title
Owner
Phone
(989) 755-4515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X RC051733 MI Primary

Addresses

Primary practice location

800 Cooper Ave
Suite 7
Saginaw, MI 48602-5394

Mailing address

3785 Bay Rd
Saginaw, MI 48603
Phone (989) 791-2455

Other identifiers 5

IdentifierTypeStateIssuer
1891960951OtherMIBCN
1891960951OtherMIBCBS
1891960951MedicaidMI
1891960951OtherMIHPLUS
1891960951OtherMIMEDICARE TYPE 2 BILLING NUMBER

National Provider Directory

National Provider Directory

Locations

5400 Mackinaw Rd
Ste 2401
Saginaw, MI 48604
Phone (989) 799-3460

5400 Mackinaw Rd
#2401
Saginaw, MI 48604
Phone (989) 799-3460

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1891960951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 BAY RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48603",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COOPER AVE",
            "address_2": "SUITE 7",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025394",
            "telephone_number": "989-755-4515",
            "fax_number": "989-755-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADHA CHERUKURI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "CHERUKURI",
        "authorized_official_first_name": "RADHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-755-4515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "RC051733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "1891960951",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1891960951",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891960951",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPLUS",
            "identifier": "1891960951",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TYPE 2 BILLING NUMBER",
            "identifier": "1891960951",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.