NPIMap

Individual provider Active NPI

Rajeev Tummuru, M.D.

  • Gastroenterology Physician
  • Saginaw, MI
National Provider Identifier
1972762540
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301111717 Issued in MI
Practice address
4705 Towne Centre Rd Ste 104
Saginaw, MI 48604-2821
Phone
(989) 791-9133
Fax
(989) 791-7098
NPI assigned
Jun 8, 2008
Last updated
May 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036120988 IL
Gastroenterology Physician 207RG0100X 4301111717 MI Primary

Addresses

Primary practice location

4705 Towne Centre Rd Ste 104
Saginaw, MI 48604-2821

Mailing address

4000 Wellness Dr
Midland, MI 48670-2852
Phone (844) 832-1956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170922002324 MI Practitioner - Internal MedicinePractitioner - Gastroenterology 7012077522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Jefferson Medical College of Thomas Jefferson University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians

Practice addresses (Care Compare)

4680 McLeod Dr E
Saginaw, MI 48604-2852
Phone (989) 791-9133

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy262
Upper gastrointestinal (GI) endoscopy for acid reflux281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036120988ILMDInternal Medicine Physician
4301111717MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw Gastroenterology CurrentSince Jan 20, 2019 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Jan 20, 2019 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

4680 McLeod Dr E
Saginaw, MI 48604
Phone (989) 791-9100

4701 Towne Centre Rd
Ste 303
Saginaw, MI 48604
Phone (989) 780-2455

4705 Towne Centre Rd
Ste 104
Saginaw, MI 48604
Phone (989) 249-5454

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1972762540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702852",
            "telephone_number": "844-832-1956",
            "fax_number": "989-633-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 TOWNE CENTRE RD STE 104",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042821",
            "telephone_number": "989-791-9133",
            "fax_number": "989-791-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMMURU",
        "first_name": "RAJEEV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-08",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036120988",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301111717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.