Active NPI
Nirmala Bhajanlal Bhaya, MD
- Pediatrics Physician
- Detroit, MI
National Provider Identifier
1114964103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301034295
- Practice address
- Childrens Hospital Mi Emergency Med
3901 Beaubien ER Dept - Main Building
Detroit, MI 48201 - Phone
- (313) 745-5260
- NPI assigned
- May 31, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301034295 | MI | Primary |
Addresses
Primary practice location
Childrens Hospital Mi Emergency Med
3901 Beaubien ER Dept - Main Building
Detroit, MI 48201
Mailing address
3800 Woodward Ave
Suite 600
Detroit, MI 48201-2061
Phone (313) 262-1490
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301034295 | MI | MD | Pediatrics Physician |
Interoperability endpoints
- nbhaya@direct.dmc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284076800000",
"number": "1114964103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 WOODWARD AVE",
"address_2": "SUITE 600",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012061",
"telephone_number": "313-262-1490",
"fax_number": "313-262-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHILDRENS HOSPITAL MI EMERGENCY MED",
"address_2": "3901 BEAUBIEN ER DEPT - MAIN BUILDING",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-5260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAYA",
"first_name": "NIRMALA",
"middle_name": "BHAJANLAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2010-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301034295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.