Bhavna Vishwas Vaniawala, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301094243 Issued in MI

Practice address

420 S Saginaw St
Flint, MI 48502-1803

Phone

(810) 762-1444

Fax

(810) 762-1448

NPI assigned

Aug 6, 2009

Sex

Female

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bvaniawala1156405@direct.hfhs.org
• FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
• Direct secure messaging: bhavnavaniawala@pmi.allscriptsdirect.net

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.

• Henry Ford Health Genesys Hospital

  • Podiatrist
  • Flint, MI
  • NPI 1528283033
  Medicare reassignment NPD
• Genesys Pho LLC

  • Case Management Agency
  • Burton, MI
  • NPI 1275820110
  Medicare reassignment
• Vaniawala Pediatrics PLLC

  • Pediatrics Physician
  • Flint, MI
  • NPI 1437846193
  NPD (past) Authorized official
• Ascension Genesys Hospital

  • Skilled Nursing Facility
  • Grand Blanc, MI
  • NPI 1093125312
  NPD
• Henry Ford Health Genesys Hospital

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1467493213
  NPD
• Henry Ford Health Genesys Hospital

  • General Acute Care Hospital
  • Grand Blanc, MI
  • NPI 1407877723
  NPD (past)

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1639300692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021803",
            "telephone_number": "810-762-1444",
            "fax_number": "810-762-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021803",
            "telephone_number": "810-762-1444",
            "fax_number": "810-762-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANIAWALA",
        "first_name": "BHAVNA",
        "middle_name": "VISHWAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301094243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy K. Vandyke, CNP
• Laurie Ann Vandyke, M.A., CCC-A
• Serrina Elaine Vaneckhoutte, FNP
• Nicole Ann Vanepps, PA-C
• Vaniawala Pediatrics PLLC
• Sheel Vaniawala
• Vanitvelt & Wendling Orthodontics
• Timothy P. Vanitvelt, DDS
• Michale Vann
• Elizabeth Ann Vansickle, ARNP

• Pediatrics Physician in Flint, MI
• Providers in Flint, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.