Active NPI
Bariatric Internists of Michigan, P.C.
- Internal Medicine Physician
- Ypsilanti, MI
National Provider Identifier
1497946990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301073103
- Legal business name
- BARIATRIC INTERNISTS OF MICHIGAN, P.C.
- Practice address
- 135 S Prospect St
Ypsilanti, MI 48198-7914 - Phone
- (734) 547-1066
- Fax
- (734) 547-1072
- NPI assigned
- Aug 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elaina Vayntrub, M.D.
- Title
- President
- Phone
- (248) 444-5498
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301073103 | MI | Primary |
Addresses
Primary practice location
135 S Prospect St
Ypsilanti, MI 48198-7914
Mailing address
135 S Prospect St
Ypsilanti, MI 48198-7914
Phone (734) 547-1066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
135 S Prospect St
Ypsilanti, MI 48198
Phone (734) 547-1060
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Ypsilanti, MI
- NPI 1770573958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428624000000",
"number": "1497946990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S PROSPECT ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481987914",
"telephone_number": "734-547-1066",
"fax_number": "734-547-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S PROSPECT ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481987914",
"telephone_number": "734-547-1066",
"fax_number": "734-547-1072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARIATRIC INTERNISTS OF MICHIGAN, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-08",
"last_updated": "2015-04-10",
"status": "A",
"authorized_official_last_name": "VAYNTRUB",
"authorized_official_first_name": "ELAINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-444-5498",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301073103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.