Individual provider Active NPI

Chetan Vyas, M.D.

  • Child & Adolescent Psychiatry Physician
  • Kalamazoo, MI
National Provider Identifier
1437172244
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
4301049087 Issued in MI
Practice address
1530 Nichols Rd
Kalamazoo, MI 49006-2065
Phone
(269) 343-6700
Fax
(269) 343-4831
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 4301049087 MI Primary
Psychiatry Physician 2084P0800X 4301049087 MI

Addresses

Primary practice location

1530 Nichols Rd
Kalamazoo, MI 49006-2065

Mailing address

300 68TH St SE
Grand Rapids, MI 49548-6927
Phone (616) 455-5000

Other identifiers 2

IdentifierTypeStateIssuer
0C94735OtherBCBS
104375258MedicaidMI

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
I20051227000522 MI Practitioner - Psychiatry 8628090107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western Michigan University School of MedicineGroup PAC ID 7517113954, 76 clinicians

Practice addresses (Care Compare)

1717 Shaffer St
Suite 10
Kalamazoo, MI 49048-1647
Phone (269) 337-6373

Merit-based Incentive Payment System (MIPS)

Final score
97.1 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301049087MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Michigan University School of Medicine CurrentSince Oct 28, 2020 Accepting new patients
Kalamazoo County Community Mental Health Authority CurrentSince Feb 12, 2018 Accepting new patients
Kalamazoo County Community Mental Health Authority CurrentSince Feb 12, 2018 Accepting new patients
Michigan State University Kalamazoo Center for Medical Studies CurrentSince Oct 28, 2020 Accepting new patients
State of Michigan Office of Financial Management Past Accepting new patients

Locations

1717 Shaffer St
Ste 123
Kalamazoo, MI 49048
Phone (616) 345-4554

418 W Kalamazoo Ave
Kalamazoo, MI 49007
Phone (269) 373-6000

1717 Shaffer St
Ste 124
Kalamazoo, MI 49048
Phone (269) 226-5456

2030 Portage St
Kalamazoo, MI 49001
Phone (269) 553-7132

1717 Shaffer St
Ste 105
Kalamazoo, MI 49048
Phone (269) 345-5378

1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347

615 E Crosstown Pkwy
Kalamazoo, MI 49001
Phone (269) 373-6000

1717 Shaffer St
Ste 10
Kalamazoo, MI 49048
Phone (269) 337-6200

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1437172244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 68TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495486927",
            "telephone_number": "616-455-5000",
            "fax_number": "269-387-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 NICHOLS RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062065",
            "telephone_number": "269-343-6700",
            "fax_number": "269-343-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYAS",
        "first_name": "CHETAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301049087",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301049087",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0C94735",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104375258",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.