Active NPI
Pritpal Singh Puri, M.D
- Cardiovascular Disease Physician
- Detroit, MI
National Provider Identifier
1992817076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301032315
- Practice address
- Harper Hospital 3990John R
C/O Medical Affairs
Detroit, MI 48201-2403 - Phone
- (313) 745-2332
- Fax
- (313) 745-8907
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301032315 | MI | Primary |
Addresses
Primary practice location
Harper Hospital 3990John R
C/O Medical Affairs
Detroit, MI 48201-2403
Mailing address
2746 Limerick LN
Troy, MI 48098-2192
Phone (248) 828-3415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0826275 | Other | MI | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992817076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2746 LIMERICK LN",
"city": "TROY",
"state": "MI",
"postal_code": "480982192",
"telephone_number": "248-828-3415",
"fax_number": "248-828-3415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HARPER HOSPITAL 3990JOHN R",
"address_2": "C/O MEDICAL AFFAIRS",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012403",
"telephone_number": "313-745-2332",
"fax_number": "313-745-8907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURI",
"first_name": "PRITPAL",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301032315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0826275",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.