AMUDHA PALAIYAN NURSE PRACTITIONER
NPI 1548796964
Nurse Practitioner - Gerontology in Detroit, MI

Q: What is Amudha Palaiyan's NPI number?

The NPI number for Amudha Palaiyan is 1548796964. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Q: What is Amudha Palaiyan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Amudha Palaiyan was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since May 04, 2017PECOS EnrolledAccepts Medicare Assignment

2799 W GRAND BLVD # K14, DETROIT, MI 48202(313) 916-2966 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amudha Palaiyan Nurse Practitioner NPPES

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

AMUDHA PALAIYAN NURSE PRACTITIONER (NPI 1548796964) is an individual gerontology provider in Detroit, Michigan, licensed in Michigan (4704258315) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1548796964

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameAMUDHA PALAIYANCredential: NURSE PRACTITIONER

Location Address2799 W GRAND BLVD # K14Detroit, MI 48202-2608

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806 · Fax (313) 876-1305

Phone(313) 916-2966

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMay 4, 2017

Last NPPES UpdateOctober 15, 2025

NPPES CertifiedOctober 15, 2025

✔ NPI 1548796964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MI · 4704258315

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 4704258315 (MI)

2799 W GRAND BLVD # K14, Detroit, MI 48202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 and accepts Medicare assignment

Amudha Palaiyan Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517219132

PECOS Enrollment IDI20181010000901

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Huron Valley-Sinai Hospital

Acute Care Hospitals · Commerce Township, MI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number230277

LocationOne William Carls DriveCommerce Township, MI 48382 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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 7

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

PEDRO ALEJANDRO ENGEL GONZALEZ MD

Internal Medicine (Cardiovascular Disease)