Active NPI
Mydhili Cheerala, M. D.
- Family Medicine Physician
- Battle Creek, MI
National Provider Identifier
1124061940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 083010
- Practice address
- 1125 Michigan Ave E
Suite 5
Battle Creek, MI 49014-6832 - Phone
- (269) 969-6014
- Fax
- (269) 969-6085
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Clinical Medical Laboratory
- Battle Creek, MI
- NPI 1760548994
-
- Rural Health Clinic/Center
- Greenfield, IA
- NPI 1194406223
Family Medicine
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 |
|---|---|---|---|
| 083010 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Doctors Group, P.C. | Family Medicine | Past | Accepting new patients |
| The Doctors Group P C | Past | Accepting new patients | |
| Greater Regional Medical Center | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- mydhilicheerala@wattlespfp.allscriptsdirect.net
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 083010 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1125 Michigan Ave E
Suite 5
Battle Creek, MI 49014-6832
Mailing address
1125 Michigan Ave E
Suite 5
Battle Creek, MI 49014-6832
Phone (269) 969-6014
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4635366 | Medicaid | MI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2008.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1124061940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 MICHIGAN AVE E",
"address_2": "SUITE 5",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490146832",
"telephone_number": "269-969-6014",
"fax_number": "269-969-6085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 MICHIGAN AVE E",
"address_2": "SUITE 5",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490146832",
"telephone_number": "269-969-6014",
"fax_number": "269-969-6085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEERALA",
"first_name": "MYDHILI",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "083010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4635366",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.