Individual provider Active NPI

Angela Chernin, MD

  • Internal Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1205084480
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301048808 Issued in MI
Practice address
2885 Bay Ridge Dr
Ann Arbor, MI 48103-1704
Phone
(734) 213-5651
NPI assigned
Aug 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301048808 MI Primary

Addresses

Primary practice location

2885 Bay Ridge Dr
Ann Arbor, MI 48103-1704

Mailing address

2885 Bay Ridge Dr
Ann Arbor, MI 48103-1704
Phone (734) 213-5651

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
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1220140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1205084480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 BAY RIDGE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031704",
            "telephone_number": "734-213-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 BAY RIDGE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031704",
            "telephone_number": "734-213-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNIN",
        "first_name": "ANGELA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-31",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301048808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.