Active NPI
Niroshan Ranjan, M.D
- Internal Medicine Physician
- Jackson, MI
National Provider Identifier
1528746930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4351051325
- Practice address
- 205 North East Avenue
Jackson, MI 49201 - Phone
- (517) 205-7147
- NPI assigned
- Jul 6, 2023
- Last updated
- Aug 1, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4351051325 | MI | Primary |
Addresses
Primary practice location
205 North East Avenue
Jackson, MI 49201
Mailing address
205 North East Avenue
Jackson, MI 49201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351051325 | MI | MD | Internal Medicine Physician |
Interoperability endpoints
- nranjan849082@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1528746930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 NORTH EAST AVENUE",
"city": "JACKSON",
"state": "MI",
"postal_code": "49201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 NORTH EAST AVENUE",
"city": "JACKSON",
"state": "MI",
"postal_code": "49201",
"telephone_number": "517-205-7147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANJAN",
"first_name": "NIROSHAN",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-06",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4351051325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.