Active NPI
Vasan H Deshikachar, M.D.,
- Geriatric Medicine (Internal Medicine) Physician
- Detroit, MI
National Provider Identifier
1700827680
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Sep 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 4301062217
- Practice address
- 11803 Grand River Ave
Detroit, MI 48204-1810 - Phone
- (313) 491-5544
- Fax
- (313) 491-7433
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4301062217 | MI | Primary |
Addresses
Primary practice location
11803 Grand River Ave
Detroit, MI 48204-1810
Mailing address
11803 Grand River Ave
Detroit, MI 48204-1810
Phone (313) 491-5544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108257051 | Other | MI | BCBS |
| 4596179 | 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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301062217 | MI | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated General Practice Network PLLC | Past | Accepting new patients | |
| Anchor Senior Medical Services PLLC | Geriatric Medicine | Past | Accepting new patients |
| Lawrence Usher DO PC | Past | Accepting new patients |
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
- Detroit, MI
- NPI 1770527517
Geriatric Medicine
-
- Clinic/Center
- Detroit, MI
- NPI 1144496860
-
- Internal Medicine Physician
- Bloomfield Hills, MI
- NPI 1487637195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700827680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11803 GRAND RIVER AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482041810",
"telephone_number": "313-491-5544",
"fax_number": "313-491-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11803 GRAND RIVER AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482041810",
"telephone_number": "313-491-5544",
"fax_number": "313-491-7433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHIKACHAR",
"first_name": "VASAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301062217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1108257051",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4596179",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.