Organization Active NPI

Louis Chiara MD PC

  • Dermatology Physician
  • Milford, MI
National Provider Identifier
1184716318
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301045542 Issued in MI
Legal business name
LOUIS CHIARA MD PC
Practice address
120 S Main St
Suite D
Milford, MI 48381-1975
Phone
(248) 684-1282
Fax
(248) 684-2485
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Louis C Chiara, M.D.NPI 1275612871
Title
President
Phone
(248) 684-1282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 4301045542 MI Primary

Addresses

Primary practice location

120 S Main St
Suite D
Milford, MI 48381-1975

Mailing address

PO Box 930319
Wixom, MI 48393-0319
Phone (248) 684-1282

Other identifiers 2

IdentifierTypeStateIssuer
4749920MedicaidMI
4749939MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050727000962 MI Part B Supplier - Clinic/Group Practice 7214965623 Receives reassigned benefits from 1 practitioner
Practice locations: Novi, MI; Milford, MI; Commerce TWP, MI

National Provider Directory

National Provider Directory

Locations

120 S Main St
Ste D
Milford, MI 48381
Phone (248) 684-1282

39595 W 10 Mile Rd
Ste 105
Novi, MI 48375
Phone (248) 427-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184716318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930319",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483930319",
            "telephone_number": "248-684-1282",
            "fax_number": "248-684-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MAIN ST",
            "address_2": "SUITE D",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811975",
            "telephone_number": "248-684-1282",
            "fax_number": "248-684-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS CHIARA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIARA",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-684-1282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301045542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4749920",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4749939",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.