Individual provider Active NPI

Evandro Silveira, MD

  • Pediatrics Physician
  • West Bloomfield, MI
National Provider Identifier
1386672525
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301063758 Issued in MI
Practice address
5793 W Maple Rd
Suite 153
West Bloomfield, MI 48322-4478
Phone
(248) 539-7726
Fax
(248) 539-7823
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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 4301063758 MI Primary

Addresses

Primary practice location

5793 W Maple Rd
Suite 153
West Bloomfield, MI 48322-4478

Mailing address

5793 W Maple Rd
Suite 153
West Bloomfield, MI 48322-4478
Phone (248) 539-7726

Other identifiers 1

IdentifierTypeStateIssuer
4254780MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301063758MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Pediatrics PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: esilveira58238@direct.hfhs.org
  • Direct secure messaging: esilveira@medcenterpeds.opdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1386672525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5793 W MAPLE RD",
            "address_2": "SUITE 153",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224478",
            "telephone_number": "248-539-7726",
            "fax_number": "248-539-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5793 W MAPLE RD",
            "address_2": "SUITE 153",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224478",
            "telephone_number": "248-539-7726",
            "fax_number": "248-539-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVEIRA",
        "first_name": "EVANDRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301063758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4254780",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.