Individual provider Active NPI

Aruna Bavineni, MD

  • Psychiatry Physician
  • Westland, MI
National Provider Identifier
1194891663
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301059562 Issued in MI
Practice address
30901 Palmer Rd
Westland, MI 48186-9529
Phone
(734) 367-8520
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301059562 MI Primary

Addresses

Primary practice location

30901 Palmer Rd
Westland, MI 48186-9529

Mailing address

3425 Cherokee TRL
Ypsilanti, MI 48198-9498
Phone (734) 645-3543

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040417000294 MI Practitioner - Geriatric PsychiatryPractitioner - Psychiatry 7012902257 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301059562MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Michigan Office of Financial Management CurrentSince Aug 2, 2011 Accepting new patients
State of Michigan Office of Financial Management CurrentSince Aug 2, 2011 Accepting new patients
Henry Ford Health Eastwood Behavioral Health Past Accepting new patients
State of Michigan Office of Financial Management PastSince Sep 24, 2023 Accepting new patients
Scott Correctionl Facility Past Accepting new patients

Locations

2040 Chambers Rd
Caro, MI 48723
Phone (989) 672-9338

30901 Palmer Rd
Westland, MI 48186
Phone (734) 367-8400

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1194891663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 CHEROKEE TRL",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481989498",
            "telephone_number": "734-645-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30901 PALMER RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481869529",
            "telephone_number": "734-367-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVINENI",
        "first_name": "ARUNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301059562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.