Pure Internal Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PURE INTERNAL MEDICINE PLLC

Practice address

8391 Commerce Rd Ste 110a
Commerce Township, MI 48382-4489

Phone

(734) 929-5659

NPI assigned

May 22, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Shyam Mahesh, MDNPI 1962407569

Title

Doctor

Phone

(248) 690-6978

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19192/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shyam Mahesh, M.D.

  • Internal Medicine Physician
  • Ypsilanti, MI
  • NPI 1962407569

  Internal Medicine, MI

  Medicare reassignment NPD Authorized official
• Debra Mary Van Ort, D.O.

  • Family Medicine Physician
  • Commerce Township, MI
  • NPI 1770634305
  NPD (past)

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1922535871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8391 COMMERCE RD STE 110A",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824489",
            "telephone_number": "248-690-6978",
            "fax_number": "947-800-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8391 COMMERCE RD STE 110A",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824489",
            "telephone_number": "734-929-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "MAHESH",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-690-6978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francesca Priebe-Nelson, DPT
• Grant Priebe, DO
• Prime PT Specialists LLC
• Progressive Lifestyle Inc
• Prosleep Centers Inc
• Pure Physiotherapy LLC
• Zeena Qaji
• Nicole Danielle Ramos, DPT
• Rapidcare PLLC
• Jordan Ray, LPC

• All providers in Commerce Township, MI
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.