Individual provider Active NPI

Vijay Chaku, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Saginaw, MI
National Provider Identifier
1700823127
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
VC046248 Issued in MI
Practice address
3400 Shattuck Rd
Saginaw, MI 48603-3157
Phone
(989) 791-2512
Fax
(989) 791-2534
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X VC046248 MI Primary

Addresses

Primary practice location

3400 Shattuck Rd
Saginaw, MI 48603-3157

Mailing address

3400 Shattuck Rd
Saginaw, MI 48603-3157
Phone (989) 791-2512

Other identifiers 1

IdentifierTypeStateIssuer
2725830MedicaidMI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080213000060 MI Practitioner - Internal Medicine 0547343626 Practice locations: Saginaw, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
VC046248MIMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vijay Chaku Critical Care Medicine PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1700823127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033157",
            "telephone_number": "989-791-2512",
            "fax_number": "989-791-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033157",
            "telephone_number": "989-791-2512",
            "fax_number": "989-791-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKU",
        "first_name": "VIJAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "VC046248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2725830",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.