Active NPI
Maria Vlachaki, M.D.
- Radiation Oncology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 4301087410
- Practice address
- 4100 John R St
Detroit, MI 48201-2013 - Phone
- (313) 745-9191
- NPI assigned
- Aug 3, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 231527 | NY | |
| Radiation Oncology Physician | 2085R0001X | 4301087410 | MI | Primary |
Addresses
Primary practice location
4100 John R St
Detroit, MI 48201-2013
Mailing address
3800 Woodward Ave
Suite 702
Detroit, MI 48201-2061
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02547015 | Medicaid | NY | |
| 4870830 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Semi Medical Group
Practice addresses (Care Compare)
11800 E 12 Mile Rd
Radiation Oncology Spec PC
Warren, MI 48093-3472
Phone (586) 573-5000
17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900
1901 Star Batt Dr
Rochester Hills, MI 48309-3767
Phone (248) 844-4000
19229 Mack Ave
Suite 10
Grosse Pointe Woods, MI 48236-2857
Phone (313) 647-3100
Hospital & facility affiliations
- Henry Ford Health Warren Hospital
- Henry Ford Health St John Hospital
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301087410 | MI | MD | Radiation Oncology Physician |
| 231527 | NY | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System North Macomb MRT Center LLC | Radiation Oncology | Current | Accepting new patients |
| Henry Ford Health System Radiation Oncology Specialists PC | Radiation Oncology | Current | Accepting new patients |
| University Physician Group | Past | Accepting new patients | |
| New York University | Past | Accepting new patients |
Locations
2348 Momentum Pl
Chicago, IL 60689
19229 Mack Ave
Ste 10
Grosse Pointe Woods, MI 48236
Phone (313) 647-3000
17900 23 Mile Rd
Ste 103
Macomb, MI 48044
Phone (586) 753-0927
1901 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4580
Interoperability endpoints
- mvlachaki1156687@direct.hfhs.org
Organizations & group practices 4
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.
-
- Radiation Oncology Physician
- Macomb TWP, MI
- NPI 1053575118
-
- Radiation Oncology Physician
- Grosse Pointe Woods, MI
- NPI 1972529436
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366443137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 WOODWARD AVE",
"address_2": "SUITE 702",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 JOHN R ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012013",
"telephone_number": "313-745-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VLACHAKI",
"first_name": "MARIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "231527",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MI",
"license": "4301087410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02547015",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4870830",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.