Deepthi Rajan, PA-C

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

5601011905 Issued in MI

Practice address

2176 Fort St
Lincoln Park, MI 48146-2405

Phone

(313) 388-1666

NPI assigned

Aug 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Priti Bhardwaj MD PC

  • Internal Medicine Physician
  • Taylor, MI
  • NPI 1851447692
  Medicare reassignment
• Priti Bhardwaj MD PC

  • Internal Medicine Physician
  • Taylor, MI
  • NPI 1851487904
  NPD (past)

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1548045560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462405",
            "telephone_number": "313-388-1666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25420 Goddard Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481806200",
            "country_code": "US",
            "telephone_number": "313-299-8006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJAN",
        "first_name": "DEEPTHI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MI",
            "license": "5601011905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providers for Aging LLC
• Pure Life Pharmacy LLC
• Christopher Purnell
• Quality Senior Home Care LLC
• Nusrat Z Rahman, M.D.
• Kevin Anibal Ramos, DDS
• Michael Amir Rashad
• Timothy Joseph Rayba, CPSS
• Sherry Lynn Razo, BACHELORS DEGREE
• Remedy Physical Therapy and Rehabilitation Inc.

• Adult Medicine Physician in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Adult Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.