Okemos Primary Care Physicians PC
NPI 1104079268 · Primary Care Clinic/Center · Okemos, MI
Okemos Primary Care Physicians PC is a Primary Care Clinic/Center organization in Okemos, MI (NPI 1104079268).
Provider details
- NPI number
- 1104079268
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sudha Yenumula, President and Ceo(517) 708-7283
- License
- 4301087786 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-11-02
- Last updated
- 2009-05-28
Frequently asked questions
- What is Okemos Primary Care Physicians PC's NPI number?
- Okemos Primary Care Physicians PC's National Provider Identifier (NPI) is 1104079268, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Okemos Primary Care Physicians PC?
- Okemos Primary Care Physicians PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Okemos Primary Care Physicians PC located?
- Okemos Primary Care Physicians PC's practice location on file with NPPES is 2104 Jolly Rd, Okemos, MI 48864-6038.
- What is Okemos Primary Care Physicians PC's phone number?
- The practice phone number listed in the NPPES registry for Okemos Primary Care Physicians PC is (517) 708-7283.
- Who is the authorized official for Okemos Primary Care Physicians PC?
- The authorized official listed on Okemos Primary Care Physicians PC's NPPES record is Sudha Yenumula, President and Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Okemos Primary Care Physicians PC's NPI active?
- Yes — Okemos Primary Care Physicians PC's NPI (1104079268) is active in the NPPES registry as of the last update on 2009-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.