Individual provider Active NPI

Avlokita Badhwar, M.D.

  • Internal Medicine Physician
  • Brownstown TWP, MI
National Provider Identifier
1508866914
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AB054726 Issued in MI
Practice address
17000 King Rd
Brownstown TWP, MI 48183-1115
Phone
(734) 362-9032
Fax
(734) 362-9001
NPI assigned
Jul 28, 2005
Last updated
Nov 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AB054726 MI Primary

Addresses

Primary practice location

17000 King Rd
Brownstown TWP, MI 48183-1115

Mailing address

17000 King Rd
Brownstown TWP, MI 48183-1115
Phone (734) 362-9032

Other identifiers 3

IdentifierTypeStateIssuer
1108267212OtherMIBCBSM
4643377MedicaidMI
1184655755OtherMIGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100618000811 MI Practitioner - Internal Medicine 7911037858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedar Medical AssociatesGroup PAC ID 9638252687, 5 clinicians

Practice addresses (Care Compare)

19135 Allen Rd
Suite 106
Brownstown TWP, MI 48183-6813
Phone (734) 362-9032

1951 Monroe St
Dearborn, MI 48124-2916
Phone (313) 563-5757

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AB054726MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Medical Associates Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Cedar Medical SNF Services PLLC Internal Medicine PastSince Oct 1, 2023 Accepting new patients

Locations

19135 Allen Rd
Ste 106
Brownstown Twp, MI 48183
Phone (734) 362-9032

1951 Monroe St
Dearborn, MI 48124
Phone (313) 563-5757

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1508866914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 KING RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831115",
            "telephone_number": "734-362-9032",
            "fax_number": "734-362-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 KING RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831115",
            "telephone_number": "734-362-9032",
            "fax_number": "734-362-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADHWAR",
        "first_name": "AVLOKITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "AB054726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1108267212",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4643377",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1184655755",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown TWP, MI

Sources for this page

Verify at the official NPI Registry.