Active NPI
Aruna A Mehendale, M.D.
- General Practice Physician
- Highland Park, MI
National Provider Identifier
1639256100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301034876
- Practice address
- 13111 Woodward Ave
Highland Park, MI 48203-3781 - Phone
- (313) 865-2800
- Fax
- (313) 866-6661
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301034876 | MI | Primary |
Addresses
Primary practice location
13111 Woodward Ave
Highland Park, MI 48203-3781
Mailing address
13111 Woodward Ave
Highland Park, MI 48203-3781
Phone (313) 865-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1943351 | Medicaid | MI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301034876 | MI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcure Rehabilitation, Inc. | Past | Accepting new patients | |
| The Wellness Plan Medical Centers | Past | Accepting new patients | |
| Family Care Center of Hamtramck PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCBDCD
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.
-
- Internal Medicine Physician
- Hamtramck, MI
- NPI 1023229127
-
- Physical Therapist
- Warren, MI
- NPI 1528024163
-
- Clinic/Center
- Detroit, MI
- NPI 1043373244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254700800000",
"number": "1639256100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13111 WOODWARD AVE",
"city": "HIGHLAND PARK",
"state": "MI",
"postal_code": "482033781",
"telephone_number": "313-865-2800",
"fax_number": "313-866-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13111 WOODWARD AVE",
"city": "HIGHLAND PARK",
"state": "MI",
"postal_code": "482033781",
"telephone_number": "313-865-2800",
"fax_number": "313-866-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHENDALE",
"first_name": "ARUNA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2009-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301034876",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1943351",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.