NPIMap

Organization Active NPI

West Bay Medical Center PLLC

  • Internal Medicine Physician
  • Bay City, MI
National Provider Identifier
1245927227
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WEST BAY MEDICAL CENTER PLLC
Practice address
3720 Katalin CT
Bay City, MI 48706-2106
Phone
(989) 686-2800
Fax
(989) 686-5920
NPI assigned
Apr 20, 2023
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Chandra Shrestha
Title
Office Manager
Phone
(989) 430-2167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

3720 Katalin CT
Bay City, MI 48706-2106

Mailing address

2547 Glen Eagle Dr
Bay City, MI 48706-9316
Phone (989) 430-2167

Other names 2

  • BAY AREA Former legal business name
  • BAY AREA HEALTH CLINIC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231026001321 MI Part B Supplier - Clinic/Group Practice 3274989306 Receives reassigned benefits from 5 practitioners
Practice locations: Bay City, MI; Sterling, MI

National Provider Directory

National Provider Directory

Locations

1900 Columbus Ave
#H
Bay City, MI 48708
Phone (989) 894-3000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1245927227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 GLEN EAGLE DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069316",
            "telephone_number": "989-430-2167",
            "fax_number": "989-686-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 KATALIN CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062106",
            "telephone_number": "989-686-2800",
            "fax_number": "989-686-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BAY MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "SHRESTHA",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-430-2167"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAY AREA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "BAY AREA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "BAY AREA HEALTH CLINIC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.