Individual provider Active NPI

Carey Chicorel Linden, M.D.

  • Allergy & Immunology Physician
  • Warren, MI
National Provider Identifier
1235390527
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4301091401 Issued in MI
Practice address
31730 Hoover Rd
Suite a
Warren, MI 48093-1700
Phone
(586) 268-9222
Fax
(586) 268-9226
NPI assigned
Jun 19, 2008
Last updated
Dec 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 4301091401 MI Primary
Pediatrics Physician 208000000X 4301091401 MI

Addresses

Primary practice location

31730 Hoover Rd
Suite a
Warren, MI 48093-1700

Mailing address

31730 Hoover Rd
Suite a
Warren, MI 48093-1700
Phone (586) 268-9222

Other identifiers 3

IdentifierTypeStateIssuer
0305024781OtherMIBCN IND
1235390527MedicaidMI
0305024781OtherMIBCBS IND PIN

Other names 1

  • Dr. Carey K Chicorel Former name

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
I20101209001085 MI Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 5092902502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Allergy and Asthma Care, PCGroup PAC ID 2668558255, 2 clinicians

Practice addresses (Care Compare)

31730 Hoover Rd a
Warren, MI 48093-1700
Phone (586) 268-9222

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Allergy & Asthma Care PC CurrentSince Aug 1, 2010 Accepting new patients

Locations

31730 Hoover Rd
Ste A
Warren, MI 48093
Phone (586) 268-9222

Interoperability endpoints

  • Direct secure messaging: clinden1139277@direct.hfhs.org

Organizations & group practices 1

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1235390527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31730 HOOVER RD",
            "address_2": "SUITE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480931700",
            "telephone_number": "586-268-9222",
            "fax_number": "586-268-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31730 HOOVER RD",
            "address_2": "SUITE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480931700",
            "telephone_number": "586-268-9222",
            "fax_number": "586-268-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDEN",
        "first_name": "CAREY",
        "middle_name": "CHICOREL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301091401",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301091401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN IND",
            "identifier": "0305024781",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235390527",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND PIN",
            "identifier": "0305024781",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAREY",
            "last_name": "CHICOREL",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.