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SIMI PULLUKAT M.D.
NPI 1245650043
Pediatrics in Bloomfield Hills, MI

Active since April 18, 2014PECOS Enrolled
71 E LONG LAKE RD, BLOOMFIELD HILLS, MI 48304(248) 533-0000 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Simi Pullukat M.d. NPPES

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

SIMI PULLUKAT M.D. (NPI 1245650043) is an individual pediatrics provider in Bloomfield Hills, Michigan, licensed in Michigan (4301500871) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1245650043
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSIMI PULLUKATCredential: M.D.
Location Address71 E LONG LAKE RDBloomfield Hills, MI 48304-9996
Mailing Address71 E Long Lake RdBloomfield Hills, MI 48304-9996 · (248) 533-0000
Phone(248) 533-0000
Sole ProprietorNo
Enumeration DateApril 18, 2014
Last NPPES UpdateApril 17, 2020
NPPES CertifiedApril 17, 2020
✔ NPI 1245650043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301500871
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
71 E LONG LAKE RD, Bloomfield Hills, MI 48304
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Other Names 1

Former Name (1)Simi Jose M.d.

Secondary Practice Location 1

Location 1505 S Main St Ste 525Orange, CA 92868-4553 · Phone (714) 456-5631 · Fax (714) 285-0389

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simi Pullukat M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

ARIANNA PHILLIPS CPNP-PC
Pediatrics
71 E LONG LAKE RD
BLOOMFIELD HILLS, MI 48304
Oakland County (248) 533-0000
DR. ALITA RENE RICE MD
Pediatrics
71 E LONG LAKE RD
BLOOMFIELD HILLS, MI 48304
Oakland County (248) 533-0000
EMILY NICOLE TERSIGNI
Nurse Practitioner (Pediatrics)
71 E LONG LAKE RD
BLOOMFIELD HILLS, MI 48304
Oakland County (248) 533-0000
TARA ELIZABETH KRISTOCK CPNP-PC
Pediatrics
71 E LONG LAKE RD
BLOOMFIELD HILLS, MI 48304
Oakland County (248) 533-0000
SERENITY PEDIATRICS
Pediatrics
71 E LONG LAKE RD
BLOOMFIELD HILLS, MI 48304
Oakland County (248) 533-0000
SERENITY DOCTORS PC
Pediatrics
71 E LONG LAKE RD
BLOOMFIELD HILLS, MI 48304
Oakland County (248) 533-0000

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 Simi Pullukat's NPI number?

The NPI number for Simi Pullukat is 1245650043. It was assigned to this individual provider in the NPPES registry on April 18, 2014. The provider is also known as Simi Jose M.D..

Where is Simi Pullukat located?

Simi Pullukat practices at 71 E Long Lake Rd, Bloomfield Hills, MI 48304. The listed phone number is (248) 533-0000.

What is Simi Pullukat's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Simi Pullukat enrolled in Medicare?

Yes. Simi Pullukat is registered in the Medicare PECOS enrollment system.

What insurance does Simi Pullukat accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Simi Pullukat 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 Simi Pullukat was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.