Active NPI
Ravi Iyer, M.D.
- Family Medicine Physician
- Detroit, MI
National Provider Identifier
1467493791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301082017
- Practice address
- 22341 W 8 Mile Rd
Detroit, MI 48219-1217 - Phone
- (313) 387-8700
- Fax
- (313) 387-7665
- NPI assigned
- Jun 9, 2006
- Last updated
- May 2, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301082017 | MI | Primary |
Addresses
Primary practice location
22341 W 8 Mile Rd
Detroit, MI 48219-1217
Mailing address
28121 Declaration Rd
Novi, MI 48377
Phone (248) 596-1113
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301082017 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Urgent Care PC | Past | Accepting new patients | |
| Visiting Doctors for America PC | Family Medicine | Past | Accepting new patients |
| Southgate Urgent Care PC | Past | Accepting new patients | |
| Home VP Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1922124320
-
- Urgent Care Clinic/Center
- Southgate, MI
- NPI 1790967339
-
- Family Medicine Physician
- Dearborn Heights, MI
- NPI 1659519981
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1255513891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1467493791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28121 DECLARATION RD",
"city": "NOVI",
"state": "MI",
"postal_code": "48377",
"telephone_number": "248-596-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22341 W 8 MILE RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482191217",
"telephone_number": "313-387-8700",
"fax_number": "313-387-7665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IYER",
"first_name": "RAVI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301082017",
"primary": true
}
],
"identifiers": [],
"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 May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.