Individual provider Active NPI

Hemalata A Nandi, M.D.

  • Pediatrics Physician
  • Marysville, MI
National Provider Identifier
1659347888
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301075494 Issued in MI
Practice address
1600 Gratiot Blvd
Suite 9
Marysville, MI 48040-1145
Phone
(810) 364-9916
Fax
(810) 364-9903
NPI assigned
Feb 27, 2006
Last updated
Jun 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301075494 MI Primary

Addresses

Primary practice location

1600 Gratiot Blvd
Suite 9
Marysville, MI 48040-1145

Mailing address

1600 Gratiot Blvd
Suite 9
Marysville, MI 48040-1145
Phone (810) 364-9916

Other identifiers 1

IdentifierTypeStateIssuer
1659347888MedicaidMI

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

LicenseStateTypeSpecialty
4301075494MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Healthcare Network, PC Past Accepting new patients
Blue Water Children's Health Care Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: h.nandi@bwchcp-mi.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/11357/brand/3/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/22735/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1659347888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 GRATIOT BLVD",
            "address_2": "SUITE 9",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401145",
            "telephone_number": "810-364-9916",
            "fax_number": "810-364-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 GRATIOT BLVD",
            "address_2": "SUITE 9",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401145",
            "telephone_number": "810-364-9916",
            "fax_number": "810-364-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDI",
        "first_name": "HEMALATA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301075494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659347888",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.