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NPI · 1336335785 · NPPES-sourced

Great Lakes Plastic Reconstructive & Hand Surgery P C

ActivePlastic Surgery Physician
NPI Number
1336335785
Type 2 · Organisation
Taxonomy Code
208200000X
Contact
(269) 329-2900
License MI · RE07166
Last Updated
Enumerated
Primary practice addressMI · 49024-4075
7971 Moorsbridge RdPortage, MI 49024-4075
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About this NPIWhat this record shows.

NPI 1336335785 is registered to Great Lakes Plastic Reconstructive & Hand Surgery P C, a healthcare organisation classified as "Plastic Surgery Physician" and located at 7971 Moorsbridge Rd in Portage, Michigan. The organisation's authorised official is Raghuram Elluru. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 0C90475MI· Issued by BLUE CROSS/BLUE SHIELD
  • 1629075668MI· Issued by DR ELLURU NPI
  • 1811994841MI· Issued by DR HOLLEY NPI
  • 0A30093MI· Issued by BLUE CROSS/BLUE SHIELD

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Great Lakes Plastic Reconstructive & Hand Surgery P C accepts. To confirm in-network status with your specific health plan, contact Great Lakes Plastic Reconstructive & Hand Surgery P C directly at (269) 329-2900.

Frequently asked

Yes. NPI 1336335785 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Plastic Surgery Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (269) 329-2900.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Great Lakes Plastic Reconstructive & Hand Surgery P C is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy208200000X
Last updated
Enumerated
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Plastic Surgery Physician providers in Michigan.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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