Active NPI
Chitranjan Lall, M.D.
- Gynecology Physician
- Detroit, MI
National Provider Identifier
1639193394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 4301031382
- Practice address
- 4160 John R St
Suite 507
Detroit, MI 48201-2020 - Phone
- (313) 745-7445
- Fax
- (313) 993-0872
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 4301031382 | MI | Primary |
Addresses
Primary practice location
4160 John R St
Suite 507
Detroit, MI 48201-2020
Mailing address
4160 John R St
Suite 507
Detroit, MI 48201-2020
Phone (313) 745-7445
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1608281181 | Other | MI | BCBS OF MICHIGAN |
| 2107169 | Medicaid | MI | |
| 1608281181 | Other | MI | BLUE CARE NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- chitranjan.lall.1@19873.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1639193394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 JOHN R ST",
"address_2": "SUITE 507",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012020",
"telephone_number": "313-745-7445",
"fax_number": "313-993-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 JOHN R ST",
"address_2": "SUITE 507",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012020",
"telephone_number": "313-745-7445",
"fax_number": "313-993-0872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALL",
"first_name": "CHITRANJAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MI",
"license": "4301031382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "1608281181",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2107169",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "1608281181",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.