Padma Aysola, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA038608 Issued in MI

Practice address

19930 Farmington Rd Ste C
Livonia, MI 48152-1440

Phone

(248) 474-9866

Fax

(248) 474-9867

NPI assigned

Apr 4, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• People'S Home Care Services, Inc.

  • Home Health Agency
  • Livonia, MI
  • NPI 1598846156
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1174585251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30129 DEER RUN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483316010",
            "telephone_number": "248-474-9866",
            "fax_number": "248-474-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19930 FARMINGTON RD STE C",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521440",
            "telephone_number": "248-474-9866",
            "fax_number": "248-474-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYSOLA",
        "first_name": "PADMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "PA038608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "383633568",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaritza Lebron Ayala, CCP
• Steven Aydeleth, CCP
• Ayman Tarabishy MD PLLC
• Ayman Tarabishy MD PLLC
• Randy Paul Ayres, MD
• Ayuda Home Health Care LLC
• Aliah Azmeh
• Wejdan J Azzou, RPH
• Laura Lynn Azzouz, DO
• B&D Medical Equipment & Supplies, Inc

• Family Medicine Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.

Verify at the official NPI Registry.