Individual provider Active NPI

Ramesh Lakhamshi Chheda, MD

  • Primary Care Clinic/Center
  • Flint, MI
National Provider Identifier
1205984457
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4301045264 Issued in MI
Practice address
5154 Miller Rd
Suit I
Flint, MI 48507-1065
Phone
(810) 720-7801
Fax
(810) 720-7803
NPI assigned
Jan 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4301045264 MI Primary
Neurology Physician 2084N0400X 4301045264 MI
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 4301045264 MI

Addresses

Primary practice location

5154 Miller Rd
Suit I
Flint, MI 48507-1065

Mailing address

5154 Miller Rd
Ste I
Flint, MI 48507-1065
Phone (810) 720-7801

Other identifiers 4

IdentifierTypeStateIssuer
4301045264OtherMISTATE LICENSE
382777512OtherMITAX ID
3502502562OtherMIBLUE CROSS BLUE SHIELD
1867240 10MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301045264MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Clinic P.C. Past Accepting new patients
Michigan Neurology PC Primary Care Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1205984457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 MILLER RD",
            "address_2": "STE I",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071065",
            "telephone_number": "810-720-7801",
            "fax_number": "810-720-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5154 MILLER RD",
            "address_2": "SUIT I",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071065",
            "telephone_number": "810-720-7801",
            "fax_number": "810-720-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHEDA",
        "first_name": "RAMESH",
        "middle_name": "LAKHAMSHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301045264",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301045264",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MI",
            "license": "4301045264",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301045264",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "382777512",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3502502562",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1867240 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.