Active NPI
Tatulya Tiwari, M.D.
- Vascular & Interventional Radiology Physician
- Ann Arbor, MI
National Provider Identifier
1144549692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 4301106929
- Practice address
- 1500 E. Medical Center Dr #B1F510K
Rad: Diagnostic Radiology
Ann Arbor, MI 48109-5030 - Phone
- (734) 936-4338
- Fax
- (734) 615-3506
- NPI assigned
- May 24, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 4301106929 | MI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11015479A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116023309 | VA |
Addresses
Primary practice location
1500 E. Medical Center Dr #B1F510K
Rad: Diagnostic Radiology
Ann Arbor, MI 48109-5030
Mailing address
1500 E Medical Center Drive
Uh B1D530
Ann Arbor, MI 48109-5030
Phone (734) 647-4144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301106929 | MI | MD | Vascular & Interventional Radiology Physician |
| 11015479A | IN | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1144549692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DRIVE",
"address_2": "UH B1D530",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095030",
"telephone_number": "734-647-4144",
"fax_number": "734-615-1276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E. MEDICAL CENTER DR #B1F510K",
"address_2": "RAD: DIAGNOSTIC RADIOLOGY",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095030",
"telephone_number": "734-936-4338",
"fax_number": "734-615-3506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIWARI",
"first_name": "TATULYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-24",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "4301106929",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11015479A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116023309",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.