Individual provider Active NPI

Balu Govindrao Kamalapurkar, M.D.

  • Family Medicine Physician
  • Caro, MI
National Provider Identifier
1932214830
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301044635 Issued in MI
Practice address
1184 Cleaver Rd
Suite 300
Caro, MI 48723-1143
Phone
(989) 282-4003
Fax
(888) 491-7220
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 044635 MI
Family Medicine Physician 207Q00000X 4301044635 MI Primary

Addresses

Primary practice location

1184 Cleaver Rd
Suite 300
Caro, MI 48723-1143

Mailing address

1184 Cleaver Rd
Suite 300
Caro, MI 48723-1143
Phone (989) 282-4003

Other identifiers 1

IdentifierTypeStateIssuer
1932214830MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044635MIMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1932214830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 CLEAVER RD",
            "address_2": "SUITE 300",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231143",
            "telephone_number": "989-282-4003",
            "fax_number": "888-491-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 CLEAVER RD",
            "address_2": "SUITE 300",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231143",
            "telephone_number": "989-282-4003",
            "fax_number": "888-491-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMALAPURKAR",
        "first_name": "BALU",
        "middle_name": "GOVINDRAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "044635",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301044635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932214830",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.