Okemos Primary Care Physicians PC
Okemos Primary Care Physicians PC is a healthcare organization registered as Primary Care Clinic/Center in Okemos, MI, holding Type 2 (organization) NPI 1104079268 since 2008. The authorized official on file is Sudha Yenumula, President and Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104079268 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Okemos Primary Care Physicians PC |
| Practice address | 2104 JOLLY RD, SUITE 290, Okemos, MI, 48864 |
| Phone | 5177087283 |
| Fax | 5177087294 |
| Enumeration date | 2008-11-02 |
| Last updated in NPPES | 2009-05-28 |
Authorized official
| Name | Sudha Yenumula |
|---|---|
| Title | President and Ceo |
| Phone | 5177087283 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | 4301087786 | MI |
Copy-ready billing details
Provider: Okemos Primary Care Physicians PC NPI: 1104079268 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 2104 JOLLY RD, SUITE 290, Okemos, MI, 48864
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417937723 | Sandra Russell | Individual | Obstetrics & Gynecology Physician | Okemos, MI |
| 1992773402 | Orlando Matias | Individual | Family Medicine Physician | Okemos, MI |
| 1891886099 | Jeffrey Meier | Individual | Family Medicine Physician | Okemos, MI |
| 1609925304 | Lucila Martinez Castillo | Individual | General Practice Dentistry | Okemos, MI |
| 1225177678 | Mclaren Greater Lansing | Organization | Advanced Practice Midwife | Okemos, MI |
| 1093856940 | Elizabeth Root | Individual | Nurse Practitioner | Okemos, MI |
| 1174707525 | Orlando Matias Do PC | Organization | Family Medicine Physician | Okemos, MI |
Verify this record
Cross-check NPI 1104079268 against the authoritative CMS record: view Okemos Primary Care Physicians PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Okemos Primary Care Physicians PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-05-28.