Active NPI
Arjun Trivedi, M.D., M.S.
- Student in an Organized Health Care Education/Training Program
- Southfield, MI
National Provider Identifier
1073169132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 4351045188
- Practice address
- 22250 Providence Drive, Academic Internal Medicine
Suite #301
Southfield, MI 48075-4818 - Phone
- (248) 849-3281
- Fax
- (248) 849-5449
- NPI assigned
- Aug 14, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351045188 | MI | Primary |
Addresses
Primary practice location
22250 Providence Drive, Academic Internal Medicine
Suite #301
Southfield, MI 48075-4818
Mailing address
Division of Endocrinology, Wayne State University/DMC
University Health Center 4201 St. Antoine St, Suite 4H
Detroit, MI 48201
Phone (313) 745-4008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351045188 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Past | Accepting new patients |
Interoperability endpoints
- arjun.trivedi.1@19711.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1073169132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DIVISION OF ENDOCRINOLOGY, WAYNE STATE UNIVERSITY/DMC",
"address_2": "UNIVERSITY HEALTH CENTER 4201 ST. ANTOINE ST, SUITE 4H",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-4008",
"fax_number": "313-745-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DRIVE, ACADEMIC INTERNAL MEDICINE",
"address_2": "SUITE #301",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754818",
"telephone_number": "248-849-3281",
"fax_number": "248-849-5449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIVEDI",
"first_name": "ARJUN",
"name_prefix": "Dr.",
"credential": "M.D., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-14",
"last_updated": "2022-07-13",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4351045188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.