Individual provider Active NPI

Virendra M Gaidhane, P.T.

  • Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1265503288
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Nov 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501007342 Issued in MI
Practice address
33861 Stonecrest Dr
Sterling Heights, MI 48312-5786
Phone
(586) 264-9690
Fax
(586) 264-9690
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501007342 MI Primary

Addresses

Primary practice location

33861 Stonecrest Dr
Sterling Heights, MI 48312-5786

Mailing address

33861 Stonecrest Dr
Sterling Heights, MI 48312-5786
Phone (586) 264-9690

Other identifiers 2

IdentifierTypeStateIssuer
71020000E01582OtherMIBLUE CROSS BLUE SHIELD
0208573OtherGAUNITED HEALTHCARE INS CO

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Home Health Care, Inc PastSince Mar 17, 2005 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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265503288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33861 STONECREST DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125786",
            "telephone_number": "586-264-9690",
            "fax_number": "586-264-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33861 STONECREST DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125786",
            "telephone_number": "586-264-9690",
            "fax_number": "586-264-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIDHANE",
        "first_name": "VIRENDRA",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "71020000E01582",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE INS CO",
            "identifier": "0208573",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.