Samasandrapalya R Kiran, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301063975 Issued in MI

Practice address

3353 Fleckenstein
Flint, MI 48507

Phone

(810) 720-1790

Fax

(810) 720-1794

NPI assigned

Nov 23, 2005

Sex

Male

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 1

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

Specialty

Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Home Health Home health agency, Davison, MI, CCN 237010
• McLaren Flint Hospital, Flint, MI, CCN 230141
• Hurley Medical Center Hospital, Flint, MI, CCN 230132

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCHEAD/Endpoint/CCHEAD

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.

• Samasandrapalya Kiran MD PC

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1740490218
  Medicare reassignment NPD
• Mona Hardas MD PC

  • Obstetrics & Gynecology Physician
  • Flint, MI
  • NPI 1730399106
  NPD
• Quality Care Physicians Group

  • Emergency Medicine Physician
  • Waterford, MI
  • NPI 1114974912
  NPD (past)
• Stat Care PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Flint, MI
  • NPI 1013919372
  NPD (past)
• Statcare PC

  • Emergency Medicine Physician
  • Grand Blanc, MI
  • NPI 1255333498
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hurley Medical Center

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1598717480
  Care Compare affiliation
• McLaren Flint

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1902894512
  Care Compare affiliation
• McLaren Health Management Group

  • Home Health Agency
  • Davison, MI
  • NPI 1023059144
  Care Compare affiliation

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912980970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 FLECKENSTEIN",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-720-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 FLECKENSTEIN",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-720-1790",
            "fax_number": "810-720-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRAN",
        "first_name": "SAMASANDRAPALYA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104310422",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diwakar Kinra, DDS, MS
• Emily June Kinsman, CRNA
• Sara Kipfmiller
• Alyssa Kipke, DO
• Wendy Kipp
• Lisa A Kirk, RAC
• Irene E Kirkland
• Janisha Rosetta Kirkland
• William Kirsh-Carr
• Nancy Ann Kirsh, LMSW, ACSW

• Internal Medicine Physician in Flint, MI
• Providers in Flint, 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.
• 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.

Verify at the official NPI Registry.