Elena Cherniavski, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

4301072044 Issued in MI

Practice address

21415 Civic Center Dr
Southfield, MI 48076-3909

Phone

(248) 357-1426

Fax

(248) 499-1350

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI

  Medicare reassignment NPD
• Central Anesthesia Services, PC

  • Anesthesiology Physician
  • Grand Rapids, MI
  • NPI 1497796338
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1215978085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21415 CIVIC CENTER DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763909",
            "telephone_number": "248-357-1426",
            "fax_number": "248-499-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21415 CIVIC CENTER DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763909",
            "telephone_number": "248-357-1426",
            "fax_number": "248-499-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNIAVSKI",
        "first_name": "ELENA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301072044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "477596610",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yayun Chen, LLC
• Tiffany Chenault, LMSW
• Peggy Ping Cheng, MD
• Sam Cherian, PH.D.
• Cherished Care Agency LLC
• Cherry Hill Psychological Services, LLC
• Stephanie Cherveny
• Laurence Y Cheung, MD
• Deanna Chew
• Jai Chew

• Anesthesiology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.