NPIMap

Individual provider Active NPI

Vijaya N Challa, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1528016490
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301080035 Issued in MI
Practice address
24604 Michigan Ave Ste 100
Dearborn, MI 48124-1760
Phone
(313) 562-9020
Fax
(313) 562-8511
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 4301080035 MI Primary

Addresses

Primary practice location

24604 Michigan Ave Ste 100
Dearborn, MI 48124-1760

Mailing address

24604 Michigan Ave Ste 100
Dearborn, MI 48124-1760
Phone (313) 562-9020

Other identifiers 1

IdentifierTypeStateIssuer
4865150MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060516000059 MI Practitioner - Internal MedicinePractitioner - Addiction Medicine 1951312453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5000

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6000

24604 Michigan Ave
Dearborn, MI 48124-1760
Phone (313) 562-9020

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vijaya Challa, M.D.P.C. CurrentSince Jul 1, 2012 Accepting new patients
Henry Ford Wyandotte Hospital Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Rajinder P. Sharma MD PC Internal Medicine Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Priti Bhardwaj MD PC Internal Medicine PastSince Sep 10, 2004 Accepting new patients
Allen Park Family Physicians PLC PastSince Mar 1, 2018 Accepting new patients

Locations

7445 Allen Rd
Ste 180
Allen Park, MI 48101
Phone (313) 383-4833

24604 Michigan Ave
Ste 100
Dearborn, MI 48124
Phone (313) 388-5540

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHFBA
  • Direct secure messaging: vchalla61792@direct.hfhs.org

Organizations & group practices 7

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.

Hospital & facility affiliations 10

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1528016490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24604 MICHIGAN AVE STE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241760",
            "telephone_number": "313-562-9020",
            "fax_number": "313-562-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24604 MICHIGAN AVE STE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241760",
            "telephone_number": "313-562-9020",
            "fax_number": "313-562-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALLA",
        "first_name": "VIJAYA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301080035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4865150",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.