NPIMap

Organization Active NPI

Macomb Neurology Associates PC

  • Neurology Physician
  • Warren, MI
National Provider Identifier
1467525675
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MACOMB NEUROLOGY ASSOCIATES PC
Practice address
27427 Schoenherr
Ste 100
Warren, MI 48088
Phone
(586) 756-5500
Fax
(586) 756-5511
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Chakrapani Ranganathan, MDNPI 1194709584
Title
President
Phone
(586) 756-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

27427 Schoenherr
Ste 100
Warren, MI 48088

Mailing address

PO Box 7027
Novi, MI 48376
Phone (586) 756-5500

Other identifiers 1

IdentifierTypeStateIssuer
130E012370OtherBCBS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040226000551 MI Part B Supplier - Clinic/Group Practice 6305732264 Receives reassigned benefits from 2 practitioners
Practice locations: Warren, MI

National Provider Directory

National Provider Directory

Locations

11900 E 12 Mile Rd
Ste 209
Warren, MI 48093
Phone (586) 552-2100

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1467525675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7027",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48376",
            "telephone_number": "586-756-5500",
            "fax_number": "586-756-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27427 SCHOENHERR",
            "address_2": "STE 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48088",
            "telephone_number": "586-756-5500",
            "fax_number": "586-756-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB NEUROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "RANGANATHAN",
        "authorized_official_first_name": "CHAKRAPANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-756-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "130E012370",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.