Individual provider Active NPI

Louis C Chiara, MD

  • Dermatology Physician
  • Milford, MI
National Provider Identifier
1275612871
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301045542 Issued in MI
Practice address
120 S Main St
Ste D
Milford, MI 48381
Phone
(248) 684-1282
Fax
(248) 684-2485
NPI assigned
Nov 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Dermatology Physician 207N00000X 4301045542 MI Primary

Addresses

Primary practice location

120 S Main St
Ste D
Milford, MI 48381

Mailing address

PO Box 930319
Wixom, MI 48393
Phone (248) 684-1282

Other identifiers 2

IdentifierTypeStateIssuer
4749920MedicaidMI
0706349011OtherMIBCBSM

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
I20040621000472 MI Practitioner - Dermatology 2365427812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301045542MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louis Chiara MD PC Dermatology CurrentSince Dec 27, 2004 Accepting new patients

Locations

120 S Main St
Ste D
Milford, MI 48381
Phone (248) 684-1282

39595 W 10 Mile Rd
Ste 105
Novi, MI 48375
Phone (248) 427-1000

Interoperability endpoints

  • Direct secure messaging: lchiara1120955@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275612871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930319",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "48393",
            "telephone_number": "248-684-1282",
            "fax_number": "248-684-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MAIN ST",
            "address_2": "STE D",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "48381",
            "telephone_number": "248-684-1282",
            "fax_number": "248-684-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARA",
        "first_name": "LOUIS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301045542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4749920",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0706349011",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

Verify at the official NPI Registry.