Active NPI
Nisha Shantaram Parulekar, M.D.
- Internal Medicine Physician
- Detroit, MI
National Provider Identifier
1245536549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301044160
- Practice address
- 1401 W. Fort Street
Health Unit, Room-M347
Detroit, MI 48233-1003 - Phone
- (313) 226-8377
- Fax
- (313) 226-8760
- NPI assigned
- Feb 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301044160 | MI | Primary |
Addresses
Primary practice location
1401 W. Fort Street
Health Unit, Room-M347
Detroit, MI 48233-1003
Mailing address
1401 W. Fort Street
Room-M347, Health Unit
Detroit, MI 48233-1003
Phone (313) 226-8377
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301044160 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Michigan Office of Financial Management | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Michigan Veteran Homes at Chesterfield Twp
- Skilled Nursing Facility
- Chesterfield, MI
- NPI 1497342653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1245536549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W. FORT STREET",
"address_2": "ROOM-M347, HEALTH UNIT",
"city": "DETROIT",
"state": "MI",
"postal_code": "482331003",
"telephone_number": "313-226-8377",
"fax_number": "313-226-8760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W. FORT STREET",
"address_2": "HEALTH UNIT, ROOM-M347",
"city": "DETROIT",
"state": "MI",
"postal_code": "482331003",
"telephone_number": "313-226-8377",
"fax_number": "313-226-8760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARULEKAR",
"first_name": "NISHA",
"middle_name": "SHANTARAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-03",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301044160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.