Active NPI
Maya Shankaran Aravind, MD
- Dermatology Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 4301508075
- Practice address
- 24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484 - Phone
- (734) 936-4054
- NPI assigned
- Jun 19, 2013
- Last updated
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 4301508075 | MI | Primary |
Addresses
Primary practice location
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q032234 | Medicaid | TN | |
| 6106418 | Other | BCBST |
Other names 1
- Maya Aravind Raiman
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mraiman789982@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Michigan Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regents of the University of Michigan
Practice addresses (Care Compare)
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
1500 E Medical Ctr Dr 1St FL
Taubman Ctr Rec D
Ann Arbor, MI 48109-5000
Phone (734) 936-4185
1500 E Medical Ctr Dr 1St FL Rec D
Taubman Center
Ann Arbor, MI 48109-5000
Phone (734) 764-5175
1500 E Medical Ctr Dr 1St FL Rec F
Mott Hospital
Ann Arbor, MI 48109-5000
Phone (734) 764-5176
1500 E Medical Ctr Dr 3Rd FL Taubma
Ann Arbor, MI 48109-5000
Phone (734) 647-7321
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
7300 Dexter Ann Arbor Rd
Dexter, MI 48130-8598
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 368 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 100 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301508075 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Dermatology | Current | Accepting new patients |
| Dermatology Associates of Oak Ridge,PC | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Past | Accepting new patients |
Locations
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
7500 Challis Rd
Brighton, MI 48116
Phone (734) 764-4190
7500 Challis Rd
Fl 2
Brighton, MI 48116
Phone (734) 647-5940
8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510
599 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 482-2129
Interoperability endpoints
- mraiman789982@direct.sw.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
-
- Dermatology Physician
- Ann Arbor, MI
- NPI 1528097128
-
- Specialist
- Oak Ridge, TN
- NPI 1558467951
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
dba University of Michigan Health System
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health System
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1245679661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-936-4054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARAVIND",
"first_name": "MAYA",
"middle_name": "SHANKARAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "4301508075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q032234",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "6106418",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mraiman789982@direct.sw.org",
"affiliation": "N",
"address_1": "1700 University Dr E",
"city": "College Station",
"state": "TX",
"country_code": "US",
"postal_code": "778402661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MAYA",
"last_name": "RAIMAN",
"middle_name": "ARAVIND",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.