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SAMASANDRAPALYA KIRAN MD PC
NPI 1740490218
Internal Medicine in Flint, MI

Active since May 23, 2007CLIA 23D0987752 · Waiver
3353 FLECKENSTEIN RD, FLINT, MI 48507(810) 720-1790(810) 720-1794 Get Directions Write a Review

NPPES record last updated: September 28, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samasandrapalya Kiran Md Pc NPPES

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

SAMASANDRAPALYA KIRAN MD PC (NPI 1740490218) is a healthcare organization registered as an internal medicine in Flint, Michigan and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Sherri Fisher, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1740490218
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSAMASANDRAPALYA KIRAN MD PC
Location Address3353 FLECKENSTEIN RDFlint, MI 48507-3035
Mailing Address3353 Fleckenstein RdFlint, MI 48507-3035 · (810) 720-1790 · Fax (810) 720-1794
Phone(810) 720-1790
Fax(810) 720-1794
Organization SubpartNo
Authorized OfficialSherri FisherOffice Manager · (810) 720-1790
Enumeration DateMay 23, 2007
Last NPPES UpdateSeptember 28, 2007
✔ NPI 1740490218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · SK063975
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3353 FLECKENSTEIN RD, Flint, MI 48507
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Other Identifiers 4

Medicare UPING48005MI
Medicaid104310422MI
Medicare OSCAR/certification0P01140001MI
Medicare PIN0P01140MI

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samasandrapalya Kiran Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20041022000990Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Samasandrapalya Kiran MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Samasandrapalya Kiran, MD
Internal Medicine
NPI 1912980970
3353 FLECKENSTEIN
Flint, MI 48507
(810) 720-1790
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0987752

Samasandrapalya Kiran, MD PC · Flint, MI
Active · expires Jun 12, 2027
CLIA Number23D0987752
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorSamasandrapalya R. Kiran
Laboratory Phone(810) 720-1790
Laboratory LocationSamasandrapalya Kiran, MD PC3353 Fleckenstein, Flint, MI 48507
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Samasandrapalya Kiran MD PC's NPI number?

The NPI number for Samasandrapalya Kiran MD PC is 1740490218. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Samasandrapalya Kiran MD PC located?

Samasandrapalya Kiran MD PC is located at 3353 Fleckenstein Rd, Flint, MI 48507. The listed phone number is (810) 720-1790.

What is Samasandrapalya Kiran MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samasandrapalya Kiran MD PC enrolled in Medicare?

Yes. Samasandrapalya Kiran MD PC is registered in the Medicare PECOS enrollment system.

When is Samasandrapalya Kiran MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Samasandrapalya Kiran MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Samasandrapalya Kiran MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Samasandrapalya Kiran MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0987752) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Samasandrapalya Kiran MD PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Samasandrapalya Kiran MD 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 Samasandrapalya Kiran MD PC was last updated on September 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.