Organization Active NPI

Healthstar Enterprises LLC

  • Specialist
  • Novi, MI
National Provider Identifier
1487923736
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301092050 Issued in MI
Legal business name
HEALTHSTAR ENTERPRISES LLC
Practice address
44150 W 12 Mile Rd
Ste 200
Novi, MI 48377-2649
Phone
(248) 348-0007
Fax
(248) 348-3407
NPI assigned
Dec 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Dr. Amit BahlNPI 1003013921
Title
Ceo
Phone
(248) 348-0007

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4301092050 MI Primary

Addresses

Primary practice location

44150 W 12 Mile Rd
Ste 200
Novi, MI 48377-2649

Mailing address

44150 W 12 Mile Rd
Ste 200
Novi, MI 48377-2649
Phone (248) 348-0007

Other identifiers 1

IdentifierTypeStateIssuer
4301092050OtherLICENSE NUMBER

Other names 1

  • PHYSICIANS WEIGHT LOSS CENTERS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1487923736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44150 W 12 MILE RD",
            "address_2": "STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772649",
            "telephone_number": "248-348-0007",
            "fax_number": "248-348-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44150 W 12 MILE RD",
            "address_2": "STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772649",
            "telephone_number": "248-348-0007",
            "fax_number": "248-348-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTAR ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "BAHL",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-348-0007",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301092050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "4301092050",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIANS WEIGHT LOSS CENTERS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.