Individual provider Active NPI

Vasan H Deshikachar, M.D.,

  • Geriatric Medicine (Internal Medicine) Physician
  • Detroit, MI
National Provider Identifier
1700827680
Registry record updated Jul 13, 2026
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
4301062217 Issued in MI
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1108257051OtherMIBCBS
4596179MedicaidMI

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301062217MIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated General Practice Network PLLC Past Accepting new patients
Anchor Senior Medical Services PLLC Geriatric Medicine PastSince Oct 1, 1997 Accepting new patients
Lawrence Usher DO PC PastSince May 1, 2006 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.

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

Verify at the official NPI Registry.