WOODWARD GASTROENTEROLOGY PC
NPI 1104247899
Internal Medicine - Gastroenterology in Berkley, MI

Active since December 23, 2013
1695 12 MILE RD, SUITE 220, BERKLEY, MI 48072(248) 229-8354 Get Directions Write a Review

NPPES record last updated: March 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Woodward Gastroenterology Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODWARD GASTROENTEROLOGY PC (NPI 1104247899) is a healthcare organization registered as a gastroenterology in Berkley, Michigan and active in the NPI registry since December 2013. The organization lists Tusar Kishore Desai, Owner, as its authorized official.

NPPES Registry Identity

NPI1104247899
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameWOODWARD GASTROENTEROLOGY PC
Location Address1695 12 MILE RD, SUITE 220Berkley, MI 48072-2182
Mailing Address1257 Club DrBloomfield Hills, MI 48302-0907 · (248) 229-8354
Organization SubpartNo
Authorized OfficialTusar Kishore DesaiOwner · (248) 229-8354
Enumeration DateDecember 23, 2013
Last NPPES UpdateMarch 7, 2014
NPI 1104247899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MI · 4301044285
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1695 12 MILE RD, Berkley, MI 48072

Other Identifiers 1

Medicare UPINE76131MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
1695 12 MILE RD, STE 250
BERKLEY, MI 48072
Nurse Practitioner (Family)
1695 12 MILE RD
BERKLEY, MI 48072
Internal Medicine
1695 12 MILE RD, STE 250
BERKLEY, MI 48072
Surgery
1695 12 MILE RD, SUITE 220
BERKLEY, MI 48072
Surgery
1695 12 MILE RD, SUITE 220
BERKLEY, MI 48072
Internal Medicine (Nephrology)
1695 12 MILE RD, STE 250
BERKLEY, MI 48072
Surgery
1695 12 MILE RD, SUITE 220
BERKLEY, MI 48072
Internal Medicine
1695 12 MILE RD, SUITE 200
BERKLEY, MI 48072

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Woodward Gastroenterology PC's NPI number?

The NPI number for Woodward Gastroenterology PC is 1104247899. It was assigned to this organization in the NPPES registry on December 23, 2013.

Where is Woodward Gastroenterology PC located?

Woodward Gastroenterology PC is located at 1695 12 Mile Rd Suite 220, Berkley, MI 48072. The listed phone number is (248) 229-8354.

What is Woodward Gastroenterology PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

What insurance does Woodward Gastroenterology PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Woodward Gastroenterology PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Woodward Gastroenterology PC was last updated on March 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.