Khachorndej Vibhasiri, M.D

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

4301031487 Issued in MI

Practice address

732 Brookwood Walke
Bloomfield Hills, MI 48304-1900

Phone

(248) 644-6360

Fax

(248) 644-6360

NPI assigned

Dec 8, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1003184748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 BROOKWOOD WALKE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041900",
            "telephone_number": "248-644-6360",
            "fax_number": "248-644-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 BROOKWOOD WALKE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041900",
            "telephone_number": "248-644-6360",
            "fax_number": "248-644-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIBHASIRI",
        "first_name": "KHACHORNDEJ",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301031487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veena Govila MD PC
• Hedyeh Veiseh
• Jason T Vettraino, DDS
• Jessica Vettraino, NP
• Jean L Viaud-Murat, RN, CLC
• Sasinee Vibhasiri, MD
• Sarah Elizabeth Vigiletti
• Village Pharmacy at the Market Inc
• Village Pharmacy Compounding Inc
• Vision Specialists of Birmingham, PLLC

• Endocrinology, Diabetes & Metabolism Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.