KALLANAGOUDA NANDIHALLI M.D. NPI 1447232418

NPI Information

  • NPI: 1447232418
  • Provider Name: KALLANAGOUDA NANDIHALLI, M.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 711 S HEALTH PKWY
    SUITE 4
    THREE RIVERS, MI
    ZIP 49093
  • Phone: (269) 273-8557

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NPI Details

Kallanagouda Nandihalli, M.D. is an internal medicine in Three Rivers, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Kallanagouda Nandihalli, M.D. NPI is 1447232418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

711 S HEALTH PKWY
SUITE 4
THREE RIVERS, MI
ZIP 49093-387
Phone: (269) 273-8557
Fax: (269) 279-6461

The NPI 1447232418 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 7/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine4301040630MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A77687MEDICARE UPINMICHIGAN
2238506MEDICARE OSCAR/CERTIFICATIONMICHIGAN
34459993 10MEDICAIDMICHIGAN
44258500 10MEDICAIDMICHIGAN
54892292 10MEDICAIDMICHIGAN
64459984 10MEDICAIDMICHIGAN
7G56008 082MEDICARE PINMICHIGAN
8230015MEDICARE OSCAR/CERTIFICATIONMICHIGAN
923U015MEDICARE OSCAR/CERTIFICATIONMICHIGAN
101107500091OTHERMICHIGANBCBS PIN
113146760 10MEDICAIDMICHIGAN
12238599MEDICARE OSCAR/CERTIFICATIONMICHIGAN
13238511MEDICARE OSCAR/CERTIFICATIONMICHIGAN
14700G560080OTHERMICHIGANBCBS GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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