Individual provider Active NPI

Mehalai Arivoli, MD

  • Pediatrics Physician
  • Coldwater, MI
National Provider Identifier
1346274891
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301077145 Issued in MI
Practice address
390 E Chicago St
Coldwater, MI 49036-2062
Phone
(517) 924-1465
NPI assigned
Jul 10, 2006
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301077145 MI Primary

Addresses

Primary practice location

390 E Chicago St
Coldwater, MI 49036-2062

Mailing address

390 E Chicago St
Coldwater, MI 49036-2062
Phone (517) 924-1465

Other identifiers 3

IdentifierTypeStateIssuer
3501201012OtherMIBCBS PIN
4558211MedicaidMI
1230375OtherMIPHP/IBA

Other names 1

  • Mehalai Tholkappian Former name

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
I20140107000491 MI Practitioner - Pediatric Medicine 1456589027 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301077145MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Branch Pediatrics CurrentSince Sep 23, 2021 Accepting new patients
Hillsdale Community Health Center Pediatrics CurrentSince Nov 1, 2020 Accepting new patients

Locations

360 E Chicago St
Ste 101
Coldwater, MI 49036
Phone (517) 249-2898

390 E Chicago St
Coldwater, MI 49036
Phone (517) 924-1465

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

451 Hidden Meadows Dr
Ste 220
Hillsdale, MI 49242
Phone (517) 437-5395

Interoperability endpoints

  • Direct secure messaging: mehalai.arivoli@glacecentral.com

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, 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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1346274891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362062",
            "telephone_number": "517-924-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362062",
            "telephone_number": "517-924-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIVOLI",
        "first_name": "MEHALAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301077145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "3501201012",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4558211",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP/IBA",
            "identifier": "1230375",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEHALAI",
            "last_name": "THOLKAPPIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.