Individual provider Active NPI

Nivedita Dhar, MD

  • Urology Physician
  • Dearborn, MI
National Provider Identifier
1346440526
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301092348 Issued in MI
Practice address
18100 Oakwood Blvd
Suite 300
Dearborn, MI 48124-4085
Phone
(313) 271-0430
Fax
(313) 429-7941
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35090181 OH
Urology Physician 208800000X 4301092348 MI Primary

Addresses

Primary practice location

18100 Oakwood Blvd
Suite 300
Dearborn, MI 48124-4085

Mailing address

1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1189
Phone (313) 271-0430

Other practice location 1

1611 Monroe St
Dearborn, MI 48124-2912
Phone (313) 254-4071

Other identifiers 1

IdentifierTypeStateIssuer
2744641MedicaidOH

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
I20080908000460 MI Practitioner - Urology 0345331500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Saint Louis University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301092348MIMDUrology Physician
35090181OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Jun 12, 2019 Accepting new patients
University Physician Group CurrentSince Sep 1, 2008 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
VHS Rehabilitation Institute of Michigan Inc Past Accepting new patients
University Physician Group Past Accepting new patients

Locations

1611 Monroe St
Dearborn, MI 48124
Phone (313) 254-4039

18100 Oakwood Blvd
Ste 300
Dearborn, MI 48124
Phone (313) 240-4900

5250 Auto Club Dr
Ste 290A
Dearborn, MI 48126
Phone (313) 448-9220

261 Mack Ave
Ste 188
Detroit, MI 48201
Phone (313) 745-4600

3901 Beaubien St
Ste 2102
Detroit, MI 48201
Phone (313) 745-5585

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006

4160 John R St
Ste 1021
Detroit, MI 48201
Phone (313) 833-3320

261 Mack Ave
Detroit, MI 48201
Phone (313) 745-1100

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

1560 E Maple Rd
Ste 400
Troy, MI 48083

Interoperability endpoints

  • Direct secure messaging: nivedita.dhar.1@19711.direct.athenahealth.com

Organizations & group practices 5

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 8

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1346440526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "address_2": "SUITE 400-CREDENTIALING",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831189",
            "telephone_number": "313-271-0430",
            "fax_number": "313-429-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 OAKWOOD BLVD",
            "address_2": "SUITE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244085",
            "telephone_number": "313-271-0430",
            "fax_number": "313-429-7941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242912",
            "country_code": "US",
            "telephone_number": "313-254-4071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHAR",
        "first_name": "NIVEDITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35090181",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301092348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2744641",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.