DR. NAYANTARA JNANANAND (M.D.) – Family Medicine Physician, NPI 1013128925
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for DR. NAYANTARA JNANANAND (M.D.)
4272 W Vienna Rd
Clio, MI 484209454
Phone: (810) 687-2850
Fax: (810) 687-9359
Type: Location
OSF Holy Family Medical Center, 1000, West Harlem Avenue, Monmouth, Warren County, Illinois, 61462, United States
MONMOUTH, IL 614621007
Phone: (309) 734-3141
Type: Location
50936 RICHARD DR
PLYMOUTH, MI 481701192
Phone: (248) 910-4123
Fax: (888) 378-0244
Type: Mailing
8552 N CANTON CENTER RD
CANTON, MI 481871310
Phone: (248) 910-4123
Fax: (888) 378-0244
Type: Location
Bronson Methodist Hospital, 601, John Street, Kalamazoo, Kalamazoo County, Michigan, 49007, United States
BOX 42
KALAMAZOO, MI 490075341
Phone: (269) 341-8419
Fax: (269) 341-8743
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110506000274 | I | Family Practice | MI | TBD |
| I20251009001175 | I | Family Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48420)
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