Individual provider Active NPI

Akhila Lattupally, MD

  • Pediatrics Physician
  • Sterling Heights, MI
National Provider Identifier
1942829262
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301509910 Issued in MI
Practice address
44344 Dequindre Rd Ste 510
Sterling Heights, MI 48314-1042
Phone
(586) 323-6300
Fax
(586) 323-6331
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301509910 MI Primary

Addresses

Primary practice location

44344 Dequindre Rd Ste 510
Sterling Heights, MI 48314-1042

Mailing address

44344 Dequindre Rd Ste 510
Sterling Heights, MI 48314-1042
Phone (586) 323-6300

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301509910MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mali & Mali Pediatrics PC Pediatrics PastSince Jun 25, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: akhila.lattupally.1@3075.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3075/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1942829262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44344 DEQUINDRE RD STE 510",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141042",
            "telephone_number": "586-323-6300",
            "fax_number": "586-323-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44344 DEQUINDRE RD STE 510",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141042",
            "telephone_number": "586-323-6300",
            "fax_number": "586-323-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTUPALLY",
        "first_name": "AKHILA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301509910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.