Organization Active NPI

Karen L. Chapel MD PC

  • Dermatology Physician
  • Dearborn, MI
National Provider Identifier
1669650958
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
KAREN L. CHAPEL MD PC
Practice address
2814 Monroe St
Dearborn, MI 48124-3473
Phone
(313) 561-5311
Fax
(313) 561-2504
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Mrs. Jane Arredondo
Title
Medical Biller
Phone
(313) 561-5311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MI Primary

Addresses

Primary practice location

2814 Monroe St
Dearborn, MI 48124-3473

Mailing address

2814 Monroe St
Dearborn, MI 48124-3473
Phone (313) 561-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080331000017 MI Part B Supplier - Clinic/Group Practice 1850477936 Receives reassigned benefits from 1 practitioner
Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Locations

2814 Monroe St
Dearborn, MI 48124
Phone (313) 561-5311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1669650958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243473",
            "telephone_number": "313-561-5311",
            "fax_number": "313-561-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243473",
            "telephone_number": "313-561-5311",
            "fax_number": "313-561-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN L. CHAPEL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "ARREDONDO",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "313-561-5311",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.