Individual provider Active NPI

Mydhili Cheerala, M. D.

  • Family Medicine Physician
  • Battle Creek, MI
National Provider Identifier
1124061940
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
083010 Issued in MI
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.

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

LicenseStateTypeSpecialty
083010MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: mydhilicheerala@wattlespfp.allscriptsdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 083010 MI Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
4635366MedicaidMI

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.

Verify at the official NPI Registry.