LIFESMART MEDICAL CENTER PLLC
NPI 1477391274
Clinic/Center - Primary Care in Lincoln Park, MI
NPI Status: Active since July 16, 2024
Contact Information
2176 FORT ST
LINCOLN PARK, MI
ZIP 48146
Phone: (313) 768-5096
Fax: (877) 409-3290
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Clinic/Center
- Primary Care
About LIFESMART MEDICAL CENTER PLLC
This page provides the complete NPI Profile along with additional information for Lifesmart Medical Center Pllc, a primary care provider established in Lincoln Park, Michigan operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1477391274 assigned on July 2024. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated August 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Amitha Parvataneni Md (Owner)
- NPI
- 1477391274
- Provider Name
- LIFESMART MEDICAL CENTER PLLC
- Entity Type
- Organization
- Location Address
- 2176 FORT ST LINCOLN PARK, MI 48146
- Location Phone
- (313) 768-5096
- Location Fax
- (877) 409-3290
- Mailing Address
- 2176 FORT ST LINCOLN PARK, MI 48146
- Mailing Phone
- (313) 768-5096
- Mailing Fax
- (877) 409-3290
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-16-2024
- Last Update Date
- 08-12-2025
- Code Navigator
A primary care provider (PCP) like Lifesmart Medical Center Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 7 | 7 | 3 | 9 | 1 | 2 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 6 | 9 | 2 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 6 + 9 + 2 + 2 + 1 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1477391274 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386633931 | DR. SHASHI KANTA MALIK M.D. Individual | Internal Medicine | 2176 FORT ST LINCOLN PARK, MI 48146 (313) 381-0713 |
| 1124363080 | SHASHI K MALIK, MD, PC Organization | Internal Medicine | 2176 FORT ST LINCOLN PARK, MI 48146 (313) 381-0713 |
| 1427567569 | SALAH ELDEIN MANSOUR PA-C Individual | Physician Assistant | 2176 FORT ST LINCOLN PARK, MI 48146 (313) 388-1666 |
| 1386395895 | EMILY NIEMI Individual | Physician Assistant | 2176 FORT ST LINCOLN PARK, MI 48146 (313) 388-1666 |
| 1518593813 | PRIMARY HEALTHCARE DOCTORS PLLC Organization | Clinic/Center (Urgent Care) | 2176 FORT ST LINCOLN PARK, MI 48146 (313) 499-8556 |
| 1548045560 | DEEPTHI RAJAN PA-C Individual | Family Medicine (Adult Medicine) | 2176 FORT ST LINCOLN PARK, MI 48146 (313) 388-1666 |
| 1104300862 | LIFESMART PHARMACY LLC Organization | Pharmacy (Community/Retail Pharmacy) | 2176 FORT ST LINCOLN PARK, MI 48146 (313) 768-5858 |
| 1316660145 | KIMBERLY ANN BUATTI FNP Individual | Nurse Practitioner (Family) | 2176 FORT ST LINCOLN PARK, MI 48146 (313) 388-1666 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477391274, enumerated in the NPI registry as an "organization" on July 16, 2024
The provider is located at 2176 Fort St Lincoln Park, Mi 48146 and the phone number is (313) 768-5096
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
This NPI record was last updated on July 16, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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