NPIMap

Individual provider Active NPI

Ruby Chahal, DPM

  • Foot & Ankle Surgery Podiatrist
  • East Lansing, MI
National Provider Identifier
1205148111
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002366 Issued in MI
Practice address
4660 S Hagadorn Rd Ste 600
East Lansing, MI 48823-5383
Phone
(517) 267-2460
Fax
(517) 884-8602
NPI assigned
Jul 8, 2010
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002366 MI Primary

Addresses

Primary practice location

4660 S Hagadorn Rd Ste 600
East Lansing, MI 48823-5383

Mailing address

804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 267-2460

Other identifiers 1

IdentifierTypeStateIssuer
1205148111MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130904000956 MI Practitioner - Podiatry 1456594860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

4660 S Hagadorn Rd
Suite 500
East Lansing, MI 48823-6804
Phone (517) 884-4554

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan State University CurrentSince Aug 1, 2013 Accepting new patients
Board of Trustees of Michigan State University Podiatrist CurrentSince Aug 1, 2013 Accepting new patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University Current Accepting new patients
Msu Health Care Inc Podiatrist Past Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients
Msu Health Care Inc. Past Accepting new patients

Locations

4650 S Hagadorn Rd
Ste 100
East Lansing, MI 48823
Phone (517) 353-4830

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

4660 S Hagadorn Rd
Ste 600
East Lansing, MI 48823
Phone (517) 267-2460

804 Service Rd
#A109F
East Lansing, MI 48824
Phone (517) 884-2976

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

Interoperability endpoints

  • Direct secure messaging: ruby.chahal.1@25394.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1205148111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A109B",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-267-2460",
            "fax_number": "517-884-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S HAGADORN RD STE 600",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235383",
            "telephone_number": "517-267-2460",
            "fax_number": "517-884-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAHAL",
        "first_name": "RUBY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205148111",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.