Active NPI
Gargi Vidholia, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 4301089848
- Practice address
- 20321 Farmington Rd
Livonia, MI 48152-1411 - Phone
- (734) 764-6831
- NPI assigned
- Jan 16, 2008
- Last updated
- May 29, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 4301089848 | MI | Primary |
Addresses
Primary practice location
20321 Farmington Rd
Livonia, MI 48152-1411
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
159 Kercheval Ave
The Assessment Center for Seniors, Henry Ford Cottage
Grosse Pointe Farms, MI 48236-3610
Phone (313) 640-2277
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
- Geriatric Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1051 N Canton CNTR Rd
University of Michigan Med Peds Association
Ann Arbor, MI 48187-5097
Phone (734) 844-5400
1051 N Canton Ctr
Canton, MI 48187-5097
Phone (734) 844-5390
1051 N Canton Ctr Rd
Canton, MI 48187-5097
1500 E Medical Ctr
Suite 0331
Ann Arbor, MI 48109-0999
Phone (734) 936-5738
1500 E Medical Ctr 2ND Floor Rec
Taubman Center
Ann Arbor, MI 48109-0999
Phone (734) 936-5020
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-0999
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
1500 E Medical Ctr Dr 1St FL
Taubman Ctr Rec D
Ann Arbor, MI 48109-5000
Phone (734) 936-4185
1500 E Medical Ctr Dr 1St FL Rec D
Taubman Center
Ann Arbor, MI 48109-5000
Phone (734) 764-5175
1500 E Medical Ctr Dr 1St FL Rec F
Mott Hospital
Ann Arbor, MI 48109-5000
Phone (734) 764-5176
1500 E Medical Ctr Dr 1St Flo
Ann Arbor, MI 48109-0999
1500 E Medical Ctr Dr 1St Floor
Ann Arbor, MI 48109-0999
1500 E Medical Ctr Dr 2ND LR
Med Inn
Ann Arbor, MI 48109-0999
Phone (734) 763-5459
1500 E Medical Ctr Dr 3Rd FL Taubma
Ann Arbor, MI 48109-5000
Phone (734) 647-7321
1500 E Medical Ctr Dr B2 Floor R
Cancer and Geriatrics Center
Ann Arbor, MI 48109-0999
Phone (734) 936-6274
1500 E Medical Ctr Dr Level B
Cancer and Geriatrics Center
Ann Arbor, MI 48109-0999
Phone (734) 647-8901
20321 Farmington Rd
Livonia, MI 48152-1411
Phone (248) 888-9000
4260 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (734) 764-6831
4270 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (888) 287-1082
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301089848 | MI | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients |
Locations
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
20321 Farmington Rd
Livonia, MI 48152
Phone (248) 473-4300
Interoperability endpoints
- gvidholia49263@sparrowdirecthie.org
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.
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
-
- Geriatric Medicine (Internal Medicine) Physician
- Ann Arbor, MI
- NPI 1164452025
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health System
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1366628703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20321 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521411",
"telephone_number": "734-764-6831"
}
],
"practiceLocations": [
{
"address_1": "159 Kercheval Ave",
"address_2": "THE ASSESSMENT CENTER FOR SENIORS, HENRY FORD COTTAGE",
"address_purpose": "LOCATION",
"city": "Grosse Pointe Farms",
"state": "MI",
"postal_code": "482363610",
"country_code": "US",
"telephone_number": "313-640-2277",
"fax_number": "313-640-2548",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIDHOLIA",
"first_name": "GARGI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-16",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301089848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.