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ANGELA BULLY M.D., P.L.L.C.
NPI 1922215201
Internal Medicine in Detroit, MI

Active since May 17, 2007
4160 JOHN R ST, SUITE 804, DETROIT, MI 48201(313) 833-1271(313) 833-1273 Get Directions Write a Review

NPPES record last updated: November 2, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Angela Bully M.d., P.l.l.c. NPPES

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

ANGELA BULLY M.D., P.L.L.C. (NPI 1922215201) is a healthcare organization registered as an internal medicine in Detroit, Michigan and active in the NPI registry since May 2007. The organization lists Angela Bully, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1922215201
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameANGELA BULLY M.D., P.L.L.C.
Location Address4160 JOHN R ST, SUITE 804Detroit, MI 48201-2020
Mailing Address4160 John R St, Suite 804Detroit, MI 48201-2020 · (313) 833-1271 · Fax (313) 833-1273
Phone(313) 833-1271
Fax(313) 833-1273
Organization SubpartNo
Authorized OfficialAngela BullyPhysician Owner · (313) 833-1271
Enumeration DateMay 17, 2007
Last NPPES UpdateNovember 2, 2009
✔ NPI 1922215201 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 · 4301057665
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.
4160 JOHN R ST, Detroit, MI 48201
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Other Identifiers 12

Other1108235671MI · Blue Cross Blue Shield
Medicaid104357008MI
Other1841257029MI · Individual Npi #
Medicare UPINI127186MI
Medicare ID-Type UnspecifiedP13720001MI · Medicare Member #
Other4301084811MI · Provider License #
OtherP61277MI · Blue Care Network
Other4301057665MI · Provider License #
Other1366536088MI · Individual Npi #
Medicare UPING17033MI
Medicare ID-Type UnspecifiedP13720002MI · Medicare Member #
Medicare ID-Type Unspecified0P13720MI · Medicare Group Provider #

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Bully M.d., P.l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Angela Bully M.D., P.L.L.C., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Angela Bully, M.D.
Internal Medicine
NPI 1841257029
4160 JOHN R ST SUITE 804
Detroit, MI 48201
(313) 833-1271
✔ PECOS✔ Accepts Medicare0.8 mi
Tammie Bully, M.D.
Internal Medicine
NPI 1366536088
29275 NORTHWESTERN HWY SUITE 202
Southfield, MI 48034
(248) 727-1990
✔ PECOS17 mi

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

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 Angela Bully M.D., P.L.L.C.'s NPI number?

The NPI number for Angela Bully M.D., P.L.L.C. is 1922215201. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Angela Bully M.D., P.L.L.C. located?

Angela Bully M.D., P.L.L.C. is located at 4160 John R St Suite 804, Detroit, MI 48201. The listed phone number is (313) 833-1271.

What is Angela Bully M.D., P.L.L.C.'s specialty?

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

Is Angela Bully M.D., P.L.L.C. enrolled in Medicare?

Yes. Angela Bully M.D., P.L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Angela Bully M.D., P.L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Angela Bully M.D., P.L.L.C.. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Angela Bully M.D., P.L.L.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Angela Bully M.D., P.L.L.C. 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 Angela Bully M.D., P.L.L.C. was last updated on November 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.