Individual provider Active NPI

Rajashree Natarajan, AUD CCC-A

  • Audiologist
  • Taylor, MI
National Provider Identifier
1508915968
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000395 Issued in MI
Practice address
25426 Goddard Rd
Taylor, MI 48180-6200
Phone
(313) 295-4710
Fax
(313) 295-4713
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000395 MI Primary

Addresses

Primary practice location

25426 Goddard Rd
Taylor, MI 48180-6200

Mailing address

47480 Cheltenham Dr
Novi, MI 48374-3685
Phone (248) 449-6522

Other identifiers 4

IdentifierTypeStateIssuer
0F32784OtherMIBCBS OF MICHIGAN
143411OtherMICARE CHOICES
383611756OtherMIPPOM
383611756OtherMITOTAL HEALTH CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412000445 MI Practitioner - Qualified Audiologist 6002853025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10501 Telegraph Rd
Suite 100
Taylor, MI 48180-3375
Phone (248) 900-3277

31313 Northwestern Hwy 216
Ears in Balance Inc
Farmington Hills, MI 48334-2577
Phone (249) 900-3277

47480 Cheltenham Dr
Novi, MI 48374-3685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601000395MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rajashree Natarajan Aud CCC-a Inc CurrentSince Oct 19, 2016 Accepting new patients
R Rajaraman MD Past Accepting new patients
Ear Nose and Throat Consultants PC PastSince Mar 18, 2013 Accepting new patients

Locations

31313 Northwestern Hwy
Ste 216
Farmington Hills, MI 48334
Phone (249) 900-3277

10501 Telegraph Rd
Ste 100
Taylor, MI 48180
Phone (248) 900-3277

25426 Goddard Rd
Taylor, MI 48180
Phone (313) 295-4710

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1508915968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47480 CHELTENHAM DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483743685",
            "telephone_number": "248-449-6522",
            "fax_number": "888-779-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25426 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806200",
            "telephone_number": "313-295-4710",
            "fax_number": "313-295-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATARAJAN",
        "first_name": "RAJASHREE",
        "name_prefix": "Ms.",
        "credential": "AUD CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0F32784",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "143411",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "383611756",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CARE",
            "identifier": "383611756",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.