Michigan Canton Cardiology Associates PLLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

MICHIGAN CANTON CARDIOLOGY ASSOCIATES PLLC

Practice address

2050 N Haggerty Rd Ste B2
Canton, MI 48187-3795

Phone

(734) 326-0740

Fax

(734) 326-0785

NPI assigned

Mar 15, 2018

Last updated

May 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rajesh Gulati, MDNPI 1699866509

Title

Director

Phone

(734) 326-0740

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajesh Chander Gulati, MD

  • Cardiovascular Disease Physician
  • Canton, MI
  • NPI 1699866509
  Medicare reassignment NPD Authorized official
• Samantha Joanne Peszko, NP

  • Family Nurse Practitioner
  • Royal Oak, MI
  • NPI 1922690577
  Medicare reassignment NPD
• Jasmine Singh, AGACNP-BC

  • Nurse Practitioner
  • Royal Oak, MI
  • NPI 1235642919
  Medicare reassignment NPD

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1003319096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 HIDDEN LAKE DR",
            "city": "BLOOMFLD HLS",
            "state": "MI",
            "postal_code": "483021955",
            "telephone_number": "734-729-6710",
            "fax_number": "734-729-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD STE B2",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873795",
            "telephone_number": "734-326-0740",
            "fax_number": "734-326-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN CANTON CARDIOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "GULATI",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-326-0740",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301035830",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Meyers
• Alia A Mian, D.M.D.
• Micare MGMT LLC
• Daniel Paul Michael Jr.
• Michele Selover
• Michigan Center for Dental Sleep Medicine, PLLC
• Michigan Complete Chiropractic & Rehab., PLC
• Michigan Dialysis Services, LLC (University of Michigan Canton Dialysis Clinic)
• Michigan Eye Clinic PC
• Michigan Family Wellness PLLC

• Interventional Cardiology Physician in Canton, MI
• Providers in Canton, MI by specialty
• Interventional Cardiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.