Nikhil Vivek Ambulgekar, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Mount Clemens, MI
NPI 1497074264 · NPPES record last updated Dec 8, 2021
Key facts
- NPI
- 1497074264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 4301096087 (MI)
- Practice address
- 133 S Main St
Mount Clemens, MI 48043 - Phone
- (586) 468-1600
- Fax
- (586) 465-0329
- NPI assigned
- May 19, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Physician Partners
Henry Ford Macomb Hospital Corporation
Practice addresses (Care Compare)
15500 19 Mile Rd
Suite 360
Clinton TWP, MI 48038-6331
Phone (586) 649-9009
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300
Hospital & facility affiliations
- Henry Ford Macomb Hospital
- Henry Ford Health Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 40 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170621001204 | MI | Practitioner - Cardiovascular Disease (Cardiology) |
4082982731 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301096087 | MI | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Health Professionals, PLLC | Internal Medicine | Current |
Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Internal Medicine | Current |
Accepting new patients |
| Internal Medicine Associates of Mt. Clemens, PC | Internal Medicine | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Current |
Accepting new patients | |
| Henry Ford Physician Partners | Internal Medicine | Current |
Accepting new patients |
| Henry Ford Physician Partners | Cardiovascular Disease | Current |
Accepting new patients |
| Henry Ford Macomb Ancillary Services | Current | Accepting new patients |
Locations
2689 Solution Ctr
Chicago, IL 60677
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
43421 Garfield Rd
Ste 1
Clinton Twp, MI 48038
Phone (586) 286-5500
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
15500 19 Mile Rd
Ste 360
Clinton Twp, MI 48038
Phone (313) 286-8840
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301096087 | MI | |
| Interventional Cardiology Physician | 207RI0011X | 4301096087 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 4301096087 | MI | Yes |
Addresses
Primary practice location
133 S Main St
Mount Clemens, MI 48043
Mailing address
2689 Solution Center
Chicago, IL 60677-0001
Phone (586) 329-1880
Other practice location 1
2799 W Grand Blvd
henry ford hospital
Detroit, MI 48202-2608
Phone (313) 916-1888
Other practice location 2
43421 Garfield Rd Ste 1
Clinton Township, MI 48038-1133
Phone (586) 286-5500
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nambulgekar236468@direct.hfhs.org |
Other providers in Mount Clemens, MI
- Alternative Community Living Inc
- Alternative Community Living Inc
- Alternative Community Living, Inc.
- Majed Alzahabi
- Amanda Stamm, LMSW
- Phillip Anderson
- Sergei M Anderson
- Tracee Anderson
- Andie G Andre
- Kenneth K Andrews
All providers in Mount Clemens, MI · Cardiovascular Disease Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.