Individual provider Active NPI

Chalakudy V Ramakrishna, MD PC

  • Psychiatry Physician
  • Livonia, MI
National Provider Identifier
1295790442
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301049207 Issued in MI
Practice address
17940 Farmington Rd
Suite 230
Livonia, MI 48152-4444
Phone
(734) 422-4748
Fax
(734) 422-5076
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301049207 MI Primary

Addresses

Primary practice location

17940 Farmington Rd
Suite 230
Livonia, MI 48152-4444

Mailing address

17940 Farmington Rd
Suite 230
Livonia, MI 48152-4444
Phone (734) 422-4748

Other identifiers 1

IdentifierTypeStateIssuer
PTANOtherMI0P03480

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
I20041130000137 MI Practitioner - Psychiatry 1052376274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Counseling Center PCGroup PAC ID 3971659046, 3 clinicians

Practice addresses (Care Compare)

11885 E 12 Mile Rd
Suite 201a
Warren, MI 48093-3469
Phone (586) 558-6000

17940 Farmington Rd
Suite 230
Livonia, MI 48152-3194
Phone (734) 422-4748

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Henry Ford Health Brighton Center for Recovery Hospital, Brighton, MI, CCN 230279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301049207MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Counseling Center PC CurrentSince Jul 1, 2001 Accepting new patients
Chalakudy V. Ramakrishna, M.D., P. C. Psychiatry CurrentSince Jul 5, 2000 Accepting new patients
Santosh Rastogi MD PC Psychiatry PastSince Jul 1, 2001 Accepting new patients

Locations

17940 Farmington Rd
Ste 230
Livonia, MI 48152
Phone (734) 245-4040

15645 Farmington Rd
Livonia, MI 48154
Phone (734) 425-5320

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

11885 E 12 Mile Rd
Ste 201A
Warren, MI 48093
Phone (586) 558-6000

Interoperability endpoints

  • Direct secure messaging: cramakrishna1148485@direct.hfhs.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8e77b480-944d-4d4a-a93e-e5a9fd83d5c6/

Organizations & group practices 3

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 2

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1295790442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17940 FARMINGTON RD",
            "address_2": "SUITE 230",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524444",
            "telephone_number": "734-422-4748",
            "fax_number": "734-422-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17940 FARMINGTON RD",
            "address_2": "SUITE 230",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524444",
            "telephone_number": "734-422-4748",
            "fax_number": "734-422-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMAKRISHNA",
        "first_name": "CHALAKUDY",
        "middle_name": "V",
        "credential": "MD PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301049207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0P03480",
            "identifier": "PTAN",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.