DR. JYOTHI NUTAKKI MD
NPI 1235240359
Psychiatry & Neurology - Child & Adolescent Psychiatry in Grand Blanc, MI
About Dr. Jyothi Nutakki Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JYOTHI NUTAKKI MD (NPI 1235240359) is an individual child & adolescent psychiatry provider in Grand Blanc, Michigan, licensed in Michigan (4301069608) and active in the NPI registry since August 2006. She has opted out of Medicare through April 9, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jyothi Nutakki Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 9, 2020 through April 9, 2028.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND BLANC, MI 48439
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 Jyothi Nutakki's NPI number?
The NPI number for Jyothi Nutakki is 1235240359. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Jyothi Nutakki located?
Jyothi Nutakki practices at 8435 Holly Rd, Grand Blanc, MI 48439. The listed phone number is (810) 424-2400.
What is Jyothi Nutakki's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Jyothi Nutakki enrolled in Medicare?
No. Jyothi Nutakki has opted out of Medicare through April 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Jyothi Nutakki accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jyothi Nutakki 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 Jyothi Nutakki was last updated on September 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Jyothi Nutakki, MD · NPI 1235240359
Child & Adolescent Psychiatry physician in Grand Blanc, Michigan. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1235240359 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 4301069608 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 8435 HOLLY RD, Grand Blanc, MI 48439-1812
- **Phone:** (810) 424-2400 · **Fax:** (810) 579-7222
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 9, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 20, 2007
- **Other identifiers:** Medicaid 4518708 (MI); Medicare UPIN F95467 (MI); Medicare PIN N73600002 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1235240359) · Data from the CMS NPPES public registry.