Great Lakes Brain Spine Surgery and Pain Center PLLC
NPI 1780056630ActiveOrganization· Neurological Surgery· Flint, MI
Neurological Surgery in Flint, Michigan, registered in NPPES in October 2015. The authorized official on file is Vivekanand Palavali, MD, Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780056630 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 30, 2015 |
| Last updated in NPPES | Nov 17, 2025 |
| Certified by provider | Nov 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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