Individual provider Active NPI

Chaitanya Lingam, M.D.

  • Internal Medicine Physician
  • Grosse Pointe Park, MI
National Provider Identifier
1255360335
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301082303 Issued in MI
Practice address
Henry Ford Health System
15401 East Jefferson
Grosse Pointe Park, MI 48230
Phone
(313) 824-4800
Fax
(313) 824-7080
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 4301082303 MI
Internal Medicine Physician 207R00000X 4301082303 MI Primary

Addresses

Primary practice location

Henry Ford Health System
15401 East Jefferson
Grosse Pointe Park, MI 48230

Mailing address

Henry Ford Health System
15401 East Jefferson
Grosse Pointe Park, MI 48230
Phone (313) 824-4800

Other identifiers 4

IdentifierTypeStateIssuer
700H262220OtherBLUE CROSS-BLUE CROSS
489780610MedicaidMI
CL082303OtherCHAMPUS-CHAMPUS
CL082303OtherCOMMERCIAL-COMMERCIAL NUMBER

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
I20060912000139 MI Practitioner - Internal MedicinePractitioner - Hospitalist 5597769265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

1 Ford PL
Detroit, MI 48202-3450
Phone (313) 874-6677

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6064

2799 W Grand Blvd
Detroit, MI 48202-2608

Hospital & facility affiliations

  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Internal Medicine CurrentSince Jul 1, 2006 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System CurrentSince Jul 1, 2006 Accepting new patients
Henry Ford Wyandotte Hospital Past Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

15401 E Jefferson Ave
Grosse Pointe Park, MI 48230
Phone (313) 824-2401

Interoperability endpoints

  • Direct secure messaging: clingam16862@direct.hfhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1255360335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HENRY FORD HEALTH SYSTEM",
            "address_2": "15401 EAST JEFFERSON",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "48230",
            "telephone_number": "313-824-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HENRY FORD HEALTH SYSTEM",
            "address_2": "15401 EAST JEFFERSON",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "48230",
            "telephone_number": "313-824-4800",
            "fax_number": "313-824-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGAM",
        "first_name": "CHAITANYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301082303",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301082303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "700H262220",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "489780610",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "CL082303",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "CL082303",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Park, MI

Sources for this page

Verify at the official NPI Registry.