Active NPI
Jahnavi Chakrala, MD
- Endocrinology, Diabetes & Metabolism Physician
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 4301502783
- Practice address
- 20229 E 9 Mile Rd Ste 200
Saint Clair Shores, MI 48080-1775 - Phone
- (586) 267-0200
- Fax
- (313) 343-4412
- NPI assigned
- Dec 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 4301502783 | MI | Primary |
Addresses
Primary practice location
20229 E 9 Mile Rd Ste 200
Saint Clair Shores, MI 48080-1775
Mailing address
20229 E 9 Mile Rd Ste 200
Saint Clair Shores, MI 48080-1775
Phone (586) 267-0200
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200708000318 | MI | Practitioner - Endocrinology | 9032342373 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Cornerstone Medical Group
Practice addresses (Care Compare)
20229 E 9 Mile Rd
Suite 200
Saint Clair Shores, MI 48080-1775
Phone (586) 267-0200
Hospital & facility affiliations
- Henry Ford Health St John Hospital
- Henry Ford Macomb Hospital
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301502783 | MI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Cornerstone Medical Group | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Internal Medicine | Past | Accepting new patients |
Locations
4260 Van Dyke Rd
Ste 102
Almont, MI 48003
Phone (810) 798-3994
43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234
46591 Romeo Plank Rd
Ste 131
Macomb, MI 48044
Phone (586) 226-6000
46591 Romeo Plank Rd
Ste 107
Macomb, MI 48044
Phone (586) 226-6080
20229 E 9 Mile Rd
#200
Saint Clair Shores, MI 48080
Phone (586) 267-0200
Interoperability endpoints
- jahnavi.chakrala.1@8209.direct.athenahealth.com
- jchakrala1120709@direct.hfhs.org
- https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1851765374
MI
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1912965088
Internal Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
Hospital
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1003237934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20229 E 9 MILE RD STE 200",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801775",
"telephone_number": "586-267-0200",
"fax_number": "313-343-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20229 E 9 MILE RD STE 200",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801775",
"telephone_number": "586-267-0200",
"fax_number": "313-343-4412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAKRALA",
"first_name": "JAHNAVI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-19",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MI",
"license": "4301502783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.